Guillermo B Hayag, PT-C
Physical Therapist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1790732030
StatusActive
Last updated in NPPESMar 25, 2015
Details
- NPI
- 1790732030
- Entity type
- Individual (NPI-1)
- Name
- Guillermo B Hayag
- Credential
- PT-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2006
- Last updated
- Mar 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT10793 | FL | Yes |
Practice location
10475 Centurion Pkwy NSuite 103
Jacksonville, FL 32256-5003
Phone 904-634-0929 · Fax 904-634-0203
Mailing address
6500 Bowden RdSuite 103
Jacksonville, FL 32216-8070
Phone 904-634-0929 · Fax 904-634-0203
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