Individual
DAVID MORA EGURROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
51385 SW OLD PORTLAND RD STE E, SCAPPOOSE, OR 97056-4062
(503) 543-7768
(503) 543-7772
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP021345T
MD
225100000X
Physical Therapist
LPT-32231
AZ
225100000X
Physical Therapist
Primary
—
OR
Other
Enumeration date
04/12/2023
Last updated
04/12/2024
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