Aegis Group Practice LLC
NPI #1043001951 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1043001951
- Entity Type
- Organization
- Organization Name
- Aegis Group Practice LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 13, 2025
- Last Updated
- May 13, 2025
Practice Location
- Address
- 3666 E COUNTY LINE N
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-1800
- Phone
- (479) 201-6091
Authorized Official
- Name
- TRACY MCCALL
- Title
- CREDENTIALING
- Phone
- (479) 201-6091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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