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Find providers by NPI
Organization

ATLAS BRACING LLC

Active
Parent organization
STREAMLINE SPORTS PHYSICAL THERAPY PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
STREAMLINE SPORTS PHYSICAL THERAPY PC
Authorized official
DEBORAH A GOSS (CREDENTIALING)
(208) 221-1161
Entity
Organization

Contact information

Practice address
4133 N GARTON LN, POCATELLO, ID 83204-7102
(208) 244-7751
(208) 550-3256
Mailing address
4133 N GARTON LN, POCATELLO, ID 83204-7102
(208) 244-7751
(208) 550-3256

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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