Organization
LIFESTREAM THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON CHUAH BIRREY PT (OWNER)
(585) 319-8335
Entity
Organization
Contact information
Practice address
12292 LONGVIEW LAKE CIR, BRADENTON, FL 34211-4965
(585) 319-8335
Mailing address
12292 LONGVIEW LAKE CIR, BRADENTON, FL 34211-4965
(585) 319-8335
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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