Individual
MICHAELENE SAGE KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L.
Contact information
Practice address
5635 PEACHTREE PKWY, SUITE 170, NORCROSS, GA 30092-2879
(770) 798-9844
(770) 798-9832
Mailing address
5655 PEACHTREE PKWY, SUITE 117, NORCROSS, GA 30092-2812
(770) 798-9844
(770) 798-9832
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT000954
GA
Other
Enumeration date
01/11/2012
Last updated
08/27/2012
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