Provider Demographics
NPI:1053559823
Name:CARY, MICHELE ANDRIANNA (MPH, MTS, OTR/L)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:ANDRIANNA
Last Name:CARY
Suffix:
Gender:F
Credentials:MPH, MTS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 28528
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30358-0528
Mailing Address - Country:US
Mailing Address - Phone:404-247-7959
Mailing Address - Fax:404-459-6566
Practice Address - Street 1:11785 NORTHFALL LN STE 501&502
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-7971
Practice Address - Country:US
Practice Address - Phone:770-569-2274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-01
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT002332225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics