Individual
MS. ELIZABETH ANN MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
221 US HIGHWAY 41, SUITE G, SCHERERVILLE, IN 46375-1277
(219) 322-2037
(219) 322-9787
Mailing address
1720 CENTRAL AVE, WHITING, IN 46394-1604
(219) 655-5108
(219) 322-9787
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31000837A
IN
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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