| 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 |
Rehab Masters, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12191 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-496-3486 | |
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 | |
Flagship Rehabilitation, Inc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12185 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-496-3486 Fax: 703-496-3487 | |
Kayla Sharma, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12825 Minnieville Rd Ste 201, Lake Ridge, VA 22192 Phone: 703-647-3130 |