Provider Demographics
NPI:1972926020
Name:JAMES, DARNISHA KIEARIA (OTR)
Entity type:Individual
Prefix:MRS
First Name:DARNISHA
Middle Name:KIEARIA
Last Name:JAMES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:DARNISHA
Other - Middle Name:KIEARIA
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 8187
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-9009
Mailing Address - Country:US
Mailing Address - Phone:910-527-8525
Mailing Address - Fax:910-868-2004
Practice Address - Street 1:3591 MURCHISON RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-2821
Practice Address - Country:US
Practice Address - Phone:910-868-2002
Practice Address - Fax:910-868-2004
Is Sole Proprietor?:No
Enumeration Date:2014-01-27
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8057225XP0019X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation