Individual
EMANUEL MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3615 NEWBURG RD, LOUISVILLE, KY 40218-3368
(502) 909-0772
(855) 859-0123
Mailing address
12300 PLANTSIDE DR, LOUISVILLE, KY 40299-6345
(502) 909-0772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009222
KY
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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