Individual
MARY DELLA MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
12831 HEMINGWAY, REDFORD, MI 48239-4606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000356
MI
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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