Individual
MRS. BETHANY MICHELE MOXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 E 179TH ST, BRONX, NY 10460-2222
(718) 842-0200
(718) 842-1328
Mailing address
575 8TH AVE, 6TH FLOOR, NEW YORK, NY 10018-3011
(212) 221-1544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014717-1
NY
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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