Provider Demographics
NPI:1548920374
Name:SEBAYAN, REINO FRANCISCO JR (PTA)
Entity type:Individual
Prefix:MR
First Name:REINO
Middle Name:FRANCISCO
Last Name:SEBAYAN
Suffix:JR
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 OAKS LN APT 604
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-3737
Mailing Address - Country:US
Mailing Address - Phone:954-728-0378
Mailing Address - Fax:
Practice Address - Street 1:575 OAKS LN APT 604
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-3737
Practice Address - Country:US
Practice Address - Phone:954-728-0378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA20698208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation