Provider Demographics
NPI:1366692402
Name:MOX, LOUISA LEE (PT)
Entity Type:Individual
Prefix:MS
First Name:LOUISA
Middle Name:LEE
Last Name:MOX
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LOUISA
Other - Middle Name:MOX
Other - Last Name:HOELSCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1807 RIDGE RD.
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006
Mailing Address - Country:US
Mailing Address - Phone:405-833-2711
Mailing Address - Fax:
Practice Address - Street 1:5060 DAVIS BLVD:
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180
Practice Address - Country:US
Practice Address - Phone:817-498-8585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1056646225100000X
OK1902225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist