Individual
RAELYN DILORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5471 OLE BANNER TRL, GRAND BLANC, MI 48439-7641
(810) 288-5983
Mailing address
5471 OLE BANNER TRL, GRAND BLANC, MI 48439-7641
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008783
MI
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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