Provider Demographics
NPI:1427372317
Name:NAYLOR, DREW OBLAD (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:OBLAD
Last Name:NAYLOR
Suffix:
Gender:M
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 E 4620 S
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84117-5007
Mailing Address - Country:US
Mailing Address - Phone:801-273-1931
Mailing Address - Fax:801-273-0020
Practice Address - Street 1:1750 E 4620 S
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84117-5007
Practice Address - Country:US
Practice Address - Phone:801-273-1931
Practice Address - Fax:801-273-0020
Is Sole Proprietor?:No
Enumeration Date:2010-03-21
Last Update Date:2010-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3121594201225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist