Provider Demographics
NPI:1407338940
Name:WOODS, JAMES M (OT/L)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:WOODS
Suffix:
Gender:M
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4011 WESTCHASE BLVD STE 290
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-3954
Mailing Address - Country:US
Mailing Address - Phone:919-785-9090
Mailing Address - Fax:919-785-2984
Practice Address - Street 1:4011 WESTCHASE BLVD STE 290
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-3954
Practice Address - Country:US
Practice Address - Phone:919-785-9090
Practice Address - Fax:919-785-2984
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4610225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist