Individual
SAMANTHA RENEE DELORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1650 GALISTEO ST, SANTA FE, NM 87505-4747
(505) 984-8313
Mailing address
8802 SUMMER SERENADE DR, HUNTERSVILLE, NC 28078-2362
(973) 945-6968
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT-2024-0037
NM
Other
Enumeration date
06/05/2023
Last updated
03/15/2024
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