| Doctor Name: | KIM PEARSON-PESCIOTTA |
| NPI Number: | 1033573654 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L |
| License Number: | TR001197 |
| Business Practice Address: | 1 Pelican Dr #9 Bayville, NJ - 087211600 |
| Business Phone Number: | 7322378830 |
| Business Fax Number: | |
| Mailing Address: | 25 Blue Heron Dr S, TOMS RIVER |
| State: | NJ |
| Postal Code: | 087532077 |
| Phone Number: | 7322553253 |
| Fax Number: | |
| NPI Enumeration Date: | 04/09/2016 |
| NPI Last Update Date: | 04/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | TR001197 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |