Ackal, Michelle
Ackal, Michelle is an individual health care provider with primary practice located at 1901 Phoenix Blvd Suite 205, College Park GA 30349-5588. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ackal, Michelle can be contacted via phone (770) 907-1023.Contact Information
Primary practice address
1901 Phoenix Blvd Suite 205
College Park GA 30349-5588
Phone: (770) 907-1023
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT004261 | Georgia |
Profile Details
| NPI number | 1477632107 |
|---|---|
| LBN Legal business name | Ackal, Michelle |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477632107 | NPPES |
| Georgia | Other | OT004261 | 07/02/1974 |
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