Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Irene Carros Mavroidis

Individual provider Recreation Therapist · NPI 1336458041

Mrs. Irene Carros Mavroidis is a Recreation Therapist in Waxhaw, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2010
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Practice location Address checks out

2410 Lord Anson Dr
Waxhaw, NC 28173-6808
Phone: (704) 651-5148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X (NC)

Record details

NPI number1336458041
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 29, 2010
Last updated in NPPESSeptember 29, 2010

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