Provider Demographics
NPI:1366877904
Name:MOFFITT, DAVID MACARTHUR (DPT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MACARTHUR
Last Name:MOFFITT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13003 MARQUETTE LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-3027
Mailing Address - Country:US
Mailing Address - Phone:240-478-1986
Mailing Address - Fax:
Practice Address - Street 1:16900 SCIENCE DR
Practice Address - Street 2:#104
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715
Practice Address - Country:US
Practice Address - Phone:301-805-7110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist