Provider Demographics
NPI:1750406062
Name:RELYEA, JAMES F II (OTR)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:RELYEA
Suffix:II
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1402 HOSPITAL PLAZA DR APT 318
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-6654
Mailing Address - Country:US
Mailing Address - Phone:910-762-1130
Mailing Address - Fax:910-762-1131
Practice Address - Street 1:1402 HOSPITAL PLAZA DR APT 318
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401
Practice Address - Country:US
Practice Address - Phone:910-762-1130
Practice Address - Fax:910-762-1131
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007707225X00000X
MA8932225X00000X
NC8701225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist