Individual
JESSE MOHORIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
260 BEISER BLVD, SUITE 102, DOVER, DE 19904-7790
(302) 741-0200
(302) 741-0245
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24762
MD
225100000X
Physical Therapist
J1-0002819
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01055676
MEDICARE RAILROAD
DE
Enumeration date
02/14/2012
Last updated
05/14/2025
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