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NPI Code Detail

MEDICARE: KATELEN GARRAGHTY

MEDICARE: KATELEN GARRAGHTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1104768993
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELEN GARRAGHTY
Provider Business Mailing Address
First Line : 2212 CENTERVILLE RD
Second Line :
City : BEDFORD
State : VA
Zip : 24523-4208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1040 GABLES DR STE 101
Second Line :
City : FOREST
State : VA
Zip : 24551-4996
Country : US
Telephone Number : 804-508-6499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ KATELEN GARRAGHTY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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