Flourish Physical Therapy, LLC
Clinic/Center, Physical Therapy in Boston, MA. Organization (NPI-2).
NPI number1962986166
StatusActive
Last updated in NPPESMay 11, 2020
Details
- NPI
- 1962986166
- Entity type
- Organization (NPI-2)
- Legal business name
- Flourish Physical Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Sep 24, 2018
- Certification date
- May 11, 2020
- Last updated
- May 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
262 Beacon St Ste 5Boston, MA 02116-1295
Phone 413-551-9394
Mailing address
262 Beacon St Ste 5Boston, MA 02116-1295
Phone 413-551-9394
Authorized official
Dustienne Miller
Owner
4135519394
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