Healthcare Provider Details

I. General information

NPI: 1134041494
Provider Name (Legal Business Name): TAYLOR MCVAY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CARNEGIE PLAZA
CHERRY HILL NJ
08003
US

IV. Provider business mailing address

1099 GERMANTOWN AVE APT 439
PHILADELPHIA PA
19123-0015
US

V. Phone/Fax

Practice location:
  • Phone: 877-407-3422
  • Fax:
Mailing address:
  • Phone: 484-364-6401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC021558
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: