Individual
BEAU NIKOLAS PEREGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2743
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017428
GA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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