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Individual

DAWN M BOSTIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
8923 SOPER HILL RD, MARYSVILLE, WA 98270-6882
(425) 339-5419
(425) 339-4219
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431

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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