Individual
MORA HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1101 S MILLIKEN AVE STE E, ONTARIO, CA 91761-8112
(909) 815-4328
Mailing address
7331 SHELBY PL APT 53, RANCHO CUCAMONGA, CA 91739-5907
(909) 815-4328
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
40963
CA
225100000X
Physical Therapist
40963
CA
2251P0200X
Pediatric Physical Therapist
Primary
40963
CA
Other
Enumeration date
10/08/2016
Last updated
03/28/2024
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