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Contact Information

STACEY MCKOY, PT
5601 LOCH RAVEN BLVD
EAST BLDG 1ST FLOOR
BALTIMORE, MD21239-2905
 Phone: 301-581-8054
 Fax: 301-564-0284
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for STACEY MCKOY · (Female)

NPI # 1013071133
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 12/21/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 18908
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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