Aegis Group Practice LLC

NPI #1134804982 in Mesquite, Texas

Provider Information

NPI Number
1134804982
Entity Type
Organization
Organization Name
Aegis Group Practice LLC
Primary Specialty
Physical Therapist
Enumeration Date
Jun 20, 2023
Last Updated
Jun 20, 2023

Practice Location

Address
700 N TOWN EAST BLVD
State
Texas
ZIP Code
75150-4770
Phone
(800) 444-6845

Authorized Official

Name
MISTY S WILSON
Title
CONTRACT/CREDENTIALING SPECIALIST
Phone
(972) 372-6779

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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