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NPI Code Detail

MEDICARE: SHIRENA JAMES

MEDICARE: SHIRENA JAMES
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
1225X00000XOccupational Therapist5757NC

General Provider Information

NPI Number : 1275668857
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRENA JAMES
Provider Business Mailing Address
First Line : 14215 MISTY BROOK LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-3199
Country : US
Telephone Number : 917-207-9291
Fax Number :
Provider Business Practice Location Address
First Line : 2300 GALLBERRY LN
Second Line :
City : WAXHAW
State : NC
Zip : 28173-0161
Country : US
Telephone Number : 704-648-4509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 11/21/2025

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Directions to “ SHIRENA JAMES ” Practice Location

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