Individual provider · Type 1 NPI
Taryn Nichelle Pettigrew, OT
Occupational Therapist · Lake Ridge, VA
Practice location
4004 Genesee Pl Ste 209
Lake Ridge, VA 22192-8305
Mailing address
15061 Galapagos Pl
Woodbridge, VA 22193-5842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OC018708 (PA) |
| Occupational Therapist Primary | 225X00000X | 0119009818 (VA) |
Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…
Another provider at this address
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About NPI 1679296594
Taryn Nichelle Pettigrew, OT's National Provider Identifier is 1679296594, issued on Sep 26, 2022. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Lake Ridge, VA. The record was last updated on Jul 31, 2026.