Individual
VERA SUE DELORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1800 WATER PL SE, SUITE 230, ATLANTA, GA 30339-2061
(770) 980-9373
Mailing address
2010 N COVE CT, MARIETTA, GA 30066-1306
(770) 926-6518
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000784
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00658534A
—
GA
Enumeration date
02/13/2007
Last updated
07/08/2007
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