Provider Demographics
NPI:1952600322
Name:NAYLOR, ANDRE ALBERT (OT)
Entity Type:Individual
Prefix:MR
First Name:ANDRE
Middle Name:ALBERT
Last Name:NAYLOR
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:BARNARDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28709-0185
Mailing Address - Country:US
Mailing Address - Phone:828-231-1692
Mailing Address - Fax:
Practice Address - Street 1:120 LAMOTTE DR
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2792
Practice Address - Country:US
Practice Address - Phone:843-681-6006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3745225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist