Individual
JACKIE MARIE DENIO-WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3571 MAGELLAN CIR APT 347, AVENTURA, FL 33180-3718
(308) 933-9296
(305) 933-9296
Mailing address
3571 MAGELLAN CIR APT 347, AVENTURA, FL 33180-3718
(308) 933-9296
(305) 933-9296
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT9046
FL
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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