Individual
TARYN L FULLERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9325 MIDLOTHIAN TPKE STE A, NORTH CHESTERFIELD, VA 23235-4943
(757) 490-3223
(757) 490-2936
Mailing address
9325 MIDLOTHIAN TPKE STE A, NORTH CHESTERFIELD, VA 23235-4943
(757) 490-3223
(757) 490-2936
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004638
VA
Other
Enumeration date
10/18/2017
Last updated
04/29/2026
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