Michael Kwaku Agyemang
Individual provider Active NPI Occupational Therapist · Decatur, GA
NPI 1669926754 · NPPES record last updated Aug 7, 2016
Key facts
- NPI
- 1669926754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT005890 (GA)
- Practice address
- 1670 Clairmont Rd
Decatur, GA 30033-4004 - Phone
- (404) 321-6111
- NPI assigned
- Aug 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT005890 | GA | Yes |
Addresses
Primary practice location
1670 Clairmont Rd
Decatur, GA 30033-4004
Mailing address
4201 Rutherford Glen Cir
Atlanta, GA 30340-3887
Phone (614) 561-6244
Other providers in Decatur, GA
- Agewell Home Health Care LLC
- Amir M. Agha
- Aging Well Senior Community
- Samuel Miguel Aguayo
- Tammy Vardeman Aguilar
- Farida Ahmadi
- Mira Abdurashid Ahmed
- Ahp of Dekalb LLC
- Mzola Uba Ahuama-Jonas
- Kate Aibangbee
All providers in Decatur, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.