Kelli Waggonner
NPI #1790320034 in Port Arthur, Texas
Provider Information
- NPI Number
- 1790320034
- Entity Type
- Individual
- Name
- Kelli Waggonner
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Nov 11, 2019
- Last Updated
- Nov 11, 2019
Practice Location
- Address
- 8595 MEDICAL CENTER BLVD
- City
- Port Arthur
- State
- Texas
- ZIP Code
- 77640-2428
- Phone
- (409) 721-8600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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