Individual
ALLISON ELIZABETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 FERGUSON ST, GRAND LEDGE, MI 48837-1611
(989) 277-3156
Mailing address
115 FERGUSON ST, GRAND LEDGE, MI 48837-1611
(989) 277-3156
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008683
MI
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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