Provider Demographics
NPI:1699948190
Name:MOXEY, STEPHEN GERARD (MPT, OCS, CFMT)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:GERARD
Last Name:MOXEY
Suffix:
Gender:M
Credentials:MPT, OCS, CFMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7326 BETTER HOURS CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5234
Mailing Address - Country:US
Mailing Address - Phone:443-722-3900
Mailing Address - Fax:
Practice Address - Street 1:7326 BETTER HOURS CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5234
Practice Address - Country:US
Practice Address - Phone:443-722-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20630225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist