Most Relevant Information
Provider Data
| NPI Number: | 1003697822 |
| Provider Name: | MORA CUNNINGHAM PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 047182 |
Most Important Dates
| Enumeration Date: | 10/09/2023 |
| Last Updated: | 10/09/2023 |
Provider Practice Location
113 W 78TH ST FRNT 1
NEW YORK
NY
100246755
Practice Location Phone/Fax
| Phone: | 7076646490 |
| Fax: |
Provider Mailing Location
143 W 80TH ST APT 4F
NEW YORK
NY
100247176
Provider Mailing Phone/Fax
| Phone: | 9788091345 |
| Fax: |