Provider Demographics
NPI:1881065977
Name:CRUM, TAYLER SNEAD (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:TAYLER
Middle Name:SNEAD
Last Name:CRUM
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:TAYLER
Other - Middle Name:NICOLE
Other - Last Name:SNEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1024 CARRINGTON PLACE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:512 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-3525
Practice Address - Country:US
Practice Address - Phone:540-886-2335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119006882225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist