Individual
MRS. PEGGY B MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1280 CENTRAL DRIVE, SOUTHERN PINES, NC 28387-2102
(910) 692-3323
(910) 692-2096
Mailing address
160 TARO LANE, VASS, NC 28394-9794
(910) 245-3069
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
255
NC
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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