Provider Demographics
NPI:1497169536
Name:PEARCE, TONI (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:PEARCE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10820 PENNY RD
Mailing Address - Street 2:#113
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-1916
Mailing Address - Country:US
Mailing Address - Phone:919-303-7068
Mailing Address - Fax:919-303-7069
Practice Address - Street 1:10820 PENNY RD
Practice Address - Street 2:#113
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-1916
Practice Address - Country:US
Practice Address - Phone:919-303-7068
Practice Address - Fax:919-303-7069
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9206225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist