Provider Demographics
NPI:1093858250
Name:PEARCE-WOOLLEY, LEEANN J (ATC)
Entity Type:Individual
Prefix:MS
First Name:LEEANN
Middle Name:J
Last Name:PEARCE-WOOLLEY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 FISK ST
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-3412
Mailing Address - Country:US
Mailing Address - Phone:732-223-4637
Mailing Address - Fax:
Practice Address - Street 1:1 NORMAN J FIELD WAY
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-4005
Practice Address - Country:US
Practice Address - Phone:732-542-1170
Practice Address - Fax:732-542-5815
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer