Organization
BRAINS THAT BEWONDER OCCUPATIONAL THERAPY, PLLC
Active
Organization
BRAINS THAT BEWONDER OCCUPATIONAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARYN NICHELLE PETTIGREW OTR/L (OCCUPATIONAL THERAPIST)
(703) 987-5148
Entity
Organization
Contact information
Practice address
4004 GENESEE PL STE 209, LAKE RIDGE, VA 22192-8305
(703) 987-5148
Mailing address
15061 GALAPAGOS PL, WOODBRIDGE, VA 22193-5842
(703) 987-5148
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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