Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI WAGGONNER
ActiveKELLI WAGGONNER is a Occupational Therapy Assistant healthcare provider located in PORT ARTHUR, Texas. NPI 1790320034 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · PORT ARTHUR, TX
Registration Details
- NPI Number
- 1790320034
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 11, 2019 (6.7578370512889 yrs)
- Last Updated
- Nov 11, 2019
- License
-
212923 (TX)
Practice Information
- Address
-
8595 MEDICAL CENTER BLVDPORT ARTHUR, TX, 776402428Browse TX providers · Browse ZIP 77640
- Phone
- 4097218600
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in PORT ARTHUR, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. JOLI' MARIE HUCKABY | C.O.T.A. | 1972707719 |
| LISA NICOLE DABNEY | COTA/L | 1487102372 |
| REBECCA ANN DUNLAP | — | 1336629864 |
| DELLA HOKETT | COTA/L | 1023598117 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.