Individual ProviderMichael C DilorenzoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4206 Retama Cir, Victoria, TX 77901-2765(361) 582-0611PECOS EnrollmentBased on the most recent information from CMS, provider Michael C Dilorenzo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1487812137Provider TypeIndividualFull NameDilorenzo, Michael CCredentialPTGenderMaleSole ProprietorNoEnumeration Date5/29/2008Last Updated5/29/2008Contact InformationPractice LocationPractice Address4206 Retama Cir, Victoria, TX 77901-2765Phone(361) 582-0611Fax(361) 582-4978Mailing LocationMailing Address4206 Retama Cir, Victoria, TX 77901-2765Phone(361) 582-0611Fax(361) 582-4978Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1168129TexasProvider IdentifiersIDDescriptionIssuerID164704201DescriptionMedicaidIssuerUnlistedTexas