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Individual

SARAH J BEAUGEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0488
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
090-15077
MEDICAID GROUP
MS
01
1033218524
GROUP NPI
MS
01
256545
MEDICARE PART A GROUP
MS
01
C02726
MEDICARE GROUP
MS
Enumeration date
05/23/2008
Last updated
09/23/2016
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