MEDICARE: MRS. DARNISHA KIEARIA JAMES OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0019X	Physical Rehabilitation Occupational Therapist	8057	NC
2	225X00000X	Occupational Therapist	8057	NC

General Provider Information

NPI Number	:	1972926020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DARNISHA KIEARIA JAMES OTR

Provider Business Mailing Address
First Line	:	PO BOX 8187
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-9009
Country	:	US
Telephone Number	:	910-527-8525
Fax Number	:	910-868-2004

Provider Business Practice Location Address
First Line	:	3591 MURCHISON RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-2821
Country	:	US
Telephone Number	:	910-868-2002
Fax Number	:	910-868-2004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2014
Last Update Date	:	06/21/2023

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