Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARYN NICHELLE PETTIGREW, OT
Active Sole ProprietorTARYN NICHELLE PETTIGREW, OT is a Occupational Therapist healthcare provider located in LAKE RIDGE, Virginia. NPI 1679296594 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LAKE RIDGE, VA
Registration Details
- NPI Number
- 1679296594
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2022 (3.8781729425363 yrs)
- Last Updated
- Feb 13, 2023
- Licenses
-
0119009818 (VA)OC018708 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12185 CLIPPER DRLAKE RIDGE, VA, 221922236Browse VA providers · Browse ZIP 22192
- Phone
- 7034578648
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Pediatric Occupational Therapist
Other Occupational Therapist Providers in LAKE RIDGE, VA
| Name | Credential | NPI |
|---|---|---|
| KAYLA SHARMA | — | 1730596966 |
| MS. LOGAN DENISE LUKE | OTR/L | 1649996489 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.