Healthcare Provider Details

I. General information

NPI: 1487075511
Provider Name (Legal Business Name): TRISHA LYNN CRAWFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2013
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 HIRST RD STE 205
PURCELLVILLE VA
20132-6601
US

IV. Provider business mailing address

205 HIRST RD STE 205
PURCELLVILLE VA
20132-6601
US

V. Phone/Fax

Practice location:
  • Phone: 703-239-3365
  • Fax: 540-675-4127
Mailing address:
  • Phone: 703-239-3365
  • Fax: 540-675-4127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0119004253
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: