Individual
MR. LORENZO LUIS MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PTA, ATC-L
Contact information
Practice address
3155 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3903
(336) 718-7980
Mailing address
1409 REGAL VIEW DR, KERNERSVILLE, NC 27284-0060
(704) 307-8948
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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