Individual
NORMAN BOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
58969
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58969
CTRS
—
Enumeration date
10/04/2019
Last updated
10/04/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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