Individual
ALEXIS ANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 BENTEE WES CT, EVANSVILLE, IN 47715-4071
(812) 618-3389
Mailing address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005196A
IN
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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