Individual provider · Type 1 NPI
Jessica Mora, ATC, CSCS
Specialist · Fort Lauderdale, FL
NPI number
1417005646
Active
Practice location
5237 SW 40th Ave
Fort Lauderdale, FL 33314-6501
Fax (954) 584-8190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | AL1012 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1417005646
Jessica Mora, ATC, CSCS's National Provider Identifier is 1417005646, issued on Jan 5, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 8, 2007.