Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rosanna C Mora

Individual provider Occupational Therapy Assistant · NPI 1215603519

Rosanna C Mora is an Occupational Therapy Assistant in Lodi, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

63 Richmond St
Lodi, NJ 07644-2109
Phone: (973) 652-2736
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 010736 (NY)

Record details

NPI number1215603519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021
Mailing address63 Richmond St, Lodi, NJ 07644-2109

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