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

Kimberly Justice Waggoner, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1073441671

Kimberly Justice Waggoner, COTA/L is an Occupational Therapy Assistant in Navarre, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

3558 Topaz Cir
Navarre, FL 32566-4708
Phone: (229) 869-1250
Fax: (229) 869-1250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA13512 (FL)

Record details

NPI number1073441671
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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