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Individual

MICHELLE ACKAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1901 PHOENIX BLVD, SUITE 205, COLLEGE PARK, GA 30349-5588
(770) 907-1023
Mailing address
PO BOX 518, JONESBORO, GA 30237-0518
(770) 631-8277
(770) 631-9403

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004261
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT004261
07/02/1974
GA
Enumeration date
11/03/2006
Last updated
05/11/2026
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