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Michael Kwaku Agyemang

Occupational Therapist in Decatur, GA. Individual provider (NPI-1).

NPI number1669926754
StatusActive
Last updated in NPPESAug 7, 2016

Details

NPI
1669926754
Entity type
Individual (NPI-1)
Name
Mr. Michael Kwaku Agyemang
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 7, 2016
Last updated
Aug 7, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT005890GAYes

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004

Phone 404-321-6111

Mailing address

4201 Rutherford Glen Cir
Atlanta, GA 30340-3887

Phone 614-561-6244

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