Provider Demographics
NPI:1356686489
Name:CRUMP, YULONDA (OT/L CPAM)
Entity Type:Individual
Prefix:MS
First Name:YULONDA
Middle Name:
Last Name:CRUMP
Suffix:
Gender:F
Credentials:OT/L CPAM
Other - Prefix:
Other - First Name:YULONDA
Other - Middle Name:
Other - Last Name:OPARE-ADDO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 282305
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-8514
Mailing Address - Country:US
Mailing Address - Phone:615-260-3432
Mailing Address - Fax:
Practice Address - Street 1:2345 HAMLET HILL DR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-3042
Practice Address - Country:US
Practice Address - Phone:615-260-3432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2860225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist