Healthcare Provider Details

I. General information

NPI: 1780327965
Provider Name (Legal Business Name): SAMANTHA LORENZETTI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA LORENZETTI

II. Dates (important events)

Enumeration Date: 04/15/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 SWEETBRIAR LN
LEVITTOWN PA
19055-2226
US

IV. Provider business mailing address

1020 LARSEN RD APT 3306
JACKSON NJ
08527-1851
US

V. Phone/Fax

Practice location:
  • Phone: 215-344-2044
  • Fax:
Mailing address:
  • Phone: 973-600-8308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number09632
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: