Individual
TARYN NICHELLE PETTIGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12185 CLIPPER DR, LAKE RIDGE, VA 22192-2236
(703) 457-8648
Mailing address
15061 GALAPAGOS PL, WOODBRIDGE, VA 22193-5842
(703) 875-1489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009818
VA
225XP0200X
Pediatric Occupational Therapist
OC018708
PA
Other
Enumeration date
09/26/2022
Last updated
02/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us