Provider Demographics
NPI:1861792707
Name:PEARCE, SUSAN KOCHEL (PT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:KOCHEL
Last Name:PEARCE
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 1:2064 46TH AVENUE DR NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-8441
Mailing Address - Country:US
Mailing Address - Phone:828-441-2031
Mailing Address - Fax:
Practice Address - Street 1:2372 EAGLE DRIVE
Practice Address - Street 2:NEW BEGINNINGS PEDIATRIC THERAPY, LLC
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613
Practice Address - Country:US
Practice Address - Phone:828-695-6469
Practice Address - Fax:828-464-5800
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3039225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist