Individual
YAJAIRA HAYGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1109 GREEN ST, ROSWELL, GA 30075-3609
(877) 787-3430
Mailing address
1965 TOMAHAWK LN, CUMMING, GA 30028-3773
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004510
GA
Other
Enumeration date
07/17/2020
Last updated
08/04/2020
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