Individual
AVERY PEGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 BELLE OAKS DR, SUITE 280, NORTH CHARLESTON, SC 29405-8537
(866) 571-2700
Mailing address
4401 BELLE OAKS DR, SUITE 280, NORTH CHARLESTON, SC 29405-8537
(866) 571-2700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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