Individual
ROSANNA C MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 RICHMOND ST, LODI, NJ 07644-2109
(973) 652-2736
Mailing address
63 RICHMOND ST, LODI, NJ 07644-2109
(973) 652-2736
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010736
NY
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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