Individual
EMILY MAE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, OCS
Contact information
Practice address
87 VICKERY ST, ROSWELL, GA 30075-4924
(404) 254-5607
Mailing address
11840 DANCLIFF TRCE, ALPHARETTA, GA 30009-8736
(404) 483-7597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
07/02/2025
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