Individual
BRYN HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3100 NORTHSIDE PKWY NW, ATLANTA, GA 30327-1563
(920) 606-6169
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014085
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851933790
—
FL
01
—
Y911W
BCBS
FL
Enumeration date
10/11/2019
Last updated
11/10/2025
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