Provider Demographics
NPI:1487382255
Name:DELORENZO, LAURA THERESA (DPT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:THERESA
Last Name:DELORENZO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 PLATT FARM RD
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:CT
Mailing Address - Zip Code:06763-1813
Mailing Address - Country:US
Mailing Address - Phone:860-860-2648
Mailing Address - Fax:
Practice Address - Street 1:7525 166TH AVE NE STE D225
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-7828
Practice Address - Country:US
Practice Address - Phone:425-307-5504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist