Most Relevant Information
Provider Data
| NPI Number: | 1003276601 |
| Provider Name: | ALEXANDRA ELIZABETH MORA PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 43334 |
Most Important Dates
| Enumeration Date: | 02/25/2016 |
| Last Updated: | 02/25/2016 |
Provider Practice Location
405 W 5TH ST
SUITE 658
SANTA ANA
CA
927014599
Practice Location Phone/Fax
| Phone: | 7148342869 |
| Fax: |
Provider Mailing Location
123 JUPITER ST
APT 4
ENCINITAS
CA
920241452
Provider Mailing Phone/Fax
| Phone: | 9512062539 |
| Fax: |