Individual
CLARESSA O JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11200 WAPLES MILL RD STE 100, FAIRFAX, VA 22030-7475
(703) 237-2219
Mailing address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009011
VA
Other
Enumeration date
07/15/2014
Last updated
12/03/2025
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