Individual
BRITNEY BOSTICK
Active
Individual
BRITNEY BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208079
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528489325
MEDICAID QMB ONLY
VA
01
—
C05954
MEDICARE GROUP PTAN
VA
01
—
P01306715
MEDICARE RR PTAN
VA
Enumeration date
12/20/2013
Last updated
04/12/2018
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