Individual
ANTHONY MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5951 JEFFERSON ST NE STE C, ALBUQUERQUE, NM 87109-3450
(505) 247-4900
(505) 933-6373
Mailing address
5951 JEFFERSON ST NE STE C, ALBUQUERQUE, NM 87109-3450
(505) 247-4900
(505) 933-6373
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3375
NM
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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