Provider Demographics
NPI:1013703180
Name:PECORARO, COLLEEN VICTORIA (PT)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:VICTORIA
Last Name:PECORARO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 TURNBERRY LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-5313
Mailing Address - Country:US
Mailing Address - Phone:910-409-3490
Mailing Address - Fax:
Practice Address - Street 1:2260 LOGAN BLVD N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-1486
Practice Address - Country:US
Practice Address - Phone:239-342-1340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic