Most Relevant Information
Provider Data
| NPI Number: | 1003396029 |
| Provider Name: | ANDY BOSTICK |
| Entity Type: | Individual |
| Taxonomy Code: | 225C00000X |
| Specialty: | Rehabilitation Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/20/2018 |
| Last Updated: | 08/20/2018 |
Provider Practice Location
719 N MAIN ST
MARION
SC
295712517
Practice Location Phone/Fax
| Phone: | 8434231811 |
| Fax: |
Provider Mailing Location
317 HUTCHINSON AVE
FLORENCE
SC
295053518
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |