Organization
FLOURISH PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIENNE MILLER PT, MS, WCS (OWNER)
(707) 968-7378
Entity
Organization
Contact information
Practice address
95 MONTGOMERY DR, SUITE 90, SANTA ROSA, CA 95404-6630
(707) 968-7378
Mailing address
95 MONTGOMERY DR, SUITE 90, SANTA ROSA, CA 95404-6630
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
39830
CA
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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