Individual
CARRIE LEEANN NAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
220 NW SPRING STREET, SUITE #1, WALDPORT, OR 97394
(541) 563-5114
(541) 563-6590
Mailing address
PO BOX 948, WALDPORT, OR 97394-0948
(541) 563-5114
(541) 563-6590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2816
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297190
—
OR
Enumeration date
12/13/2006
Last updated
07/09/2007
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