Individual
MRS. MARY VIRGINIA BOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
209 RIVERWIND DR STE B, PEARL, MS 39208-5653
(769) 572-5747
(601) 510-9500
Mailing address
209 RIVERWIND DR STE B, PEARL, MS 39208-5653
(769) 572-5747
(601) 510-9500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4509
MS
Other
Enumeration date
07/24/2017
Last updated
07/21/2022
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