Individual
SARAH J BEAUGEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1914 MARENGO DR, DEMOPOLIS, AL 36732-3418
(228) 382-2000
Mailing address
1914 MARENGO DR, DEMOPOLIS, AL 36732-3418
(228) 382-2000
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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