Healthcare Provider Details

I. General information

NPI: 1942125109
Provider Name (Legal Business Name): HUNTER MORA DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CHARLES EWING BLVD STE 170
EWING NJ
08628-3451
US

IV. Provider business mailing address

325 PRINCETON AVE
PRINCETON NJ
08540-1617
US

V. Phone/Fax

Practice location:
  • Phone: 609-924-8131
  • Fax:
Mailing address:
  • Phone: 317-694-4010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05016528A
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: