Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie Marie Denio-Waggoner, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1790972065

Jackie Marie Denio-Waggoner, OTR/L is a Pediatric Occupational Therapist in Aventura, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3571 Magellan Cir Apt 347
Aventura, FL 33180-3718
Phone: (308) 933-9296
Fax: (305) 933-9296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT9046 (FL)

Record details

NPI number1790972065
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedOctober 1, 2007
Last updated in NPPESOctober 1, 2007

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