Jackie Marie Denio-waggoner, OTR/L - Occupational Therapist in Aventura, FL

Jackie Marie Denio-waggoner, OTR/L is a Occupational Therapist - Pediatrics based in Aventura, Florida. Jackie Marie Denio-waggoner is licensed to practice in Florida (license number OT9046) and her current practice location is 3571 Magellan Cir Apt 347, Aventura, Florida. She can be reached at her office (for appointments etc.) via phone at (308) 933-9296.

NPI number for Jackie Marie Denio-waggoner is 1790972065 and her current mailing address is 3571 Magellan Cir Apt 347, Aventura, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790972065.

Contact Information

Jackie Marie Denio-waggoner, OTR/L
3571 Magellan Cir Apt 347,
Aventura, FL 33180-3718
(308) 933-9296
(305) 933-9296

Map and Direction




Healthcare Provider's Profile

Full NameJackie Marie Denio-waggoner
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location3571 Magellan Cir Apt 347, Aventura, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790972065
  • Provider Enumeration Date: 10/01/2007
  • Last Update Date: 10/01/2007

Medical Identifiers

Medical identifiers for Jackie Marie Denio-waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790972065NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics OT9046 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Marie Denio-waggoner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackie Marie Denio-waggoner, OTR/L
3571 Magellan Cir Apt 347,
Aventura, FL 33180-3718

Ph: (308) 933-9296
Jackie Marie Denio-waggoner, OTR/L
3571 Magellan Cir Apt 347,
Aventura, FL 33180-3718

Ph: (308) 933-9296

Reviews and Comments


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