Taryn Nichelle Pettigrew, OT | |
12185 Clipper Dr, Lake Ridge, VA 22192-2236 | |
(703) 457-8648 | |
Not Available |
Full Name | Taryn Nichelle Pettigrew |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 12185 Clipper Dr, Lake Ridge, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679296594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0119009818 (Virginia) | Primary |
225XP0200X | Occupational Therapist - Pediatrics | OC018708 (Pennsylvania) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Taryn Nichelle Pettigrew, OT 15061 Galapagos Pl, Woodbridge, VA 22193-5842 Ph: (703) 875-1489 | Taryn Nichelle Pettigrew, OT 12185 Clipper Dr, Lake Ridge, VA 22192-2236 Ph: (703) 457-8648 |
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› Verified 9 days ago
Ms. Logan Denise Luke, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12191 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-457-8648 | |
Kayla Sharma, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192 Phone: 703-647-3130 |