Individual
MR. LORENZO LUIS MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PTA, ATC-L
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7381
NC
2255A2300X
Athletic Trainer
1933
NC
Other
Enumeration date
04/17/2014
Last updated
12/21/2021
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