Healthcare Provider Details

I. General information

NPI: 1316925480
Provider Name (Legal Business Name): CARRIE LYNN DREYER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARRIE LYNN PUFFER PT

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 819 BOX 18-205
FPO AE
09645
US

IV. Provider business mailing address

PSC 819 BOX 18-205
FPO AE
09645
US

V. Phone/Fax

Practice location:
  • Phone: 3495682
  • Fax:
Mailing address:
  • Phone: 3495682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number24952
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: