Individual
DAWN M BOSTIC
Active
Individual
DAWN M BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005219
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0145708
DEPT. OF LABOR & INDUSTRY
WA
01
—
3824BO
REGENCE BLUE SHIELD
WA
01
—
4517914
AETNA
WA
01
—
5587BO
REGENCE BLUE SHIELD
WA
01
—
650021104
RAILROAD MEDICARE
WA
05
—
8336315
—
WA
01
—
8742BO
REGENCE BLUE SHIELD
WA
01
—
8928454
L&I CRIME VICTIMS
WA
01
—
8928861
L & I CRIME VICTIMS
WA
01
—
911745305-98208-B002
TRICARE
WA
01
—
911745305-98223-A007
TRICARE
WA
Enumeration date
04/04/2006
Last updated
06/28/2023
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