Individual
ALYSSA CLAIRE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
130 MAIN ST, CLERMONT, GA 30527-1804
(678) 616-3099
Mailing address
9772 ALDERBROOK TRCE, BRASELTON, GA 30517-3533
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT009835
GA
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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