Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Teresa Christina Waggoner, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1053627075

Mrs. Teresa Christina Waggoner, COTA/L is an Occupational Therapy Assistant in Joplin, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2010
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

201 S Northpark Ln
Joplin, MO 64801-8426
Phone: (417) 623-4313
Fax: (417) 621-0129
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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 2010019101 (MO)

Record details

NPI number1053627075
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedAugust 27, 2010
Last updated in NPPESAugust 27, 2010

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