Aegis Group Practice, LLC

NPI #1275073363 in Menomonee Falls, Wisconsin

Provider Information

NPI Number: 1275073363
Entity Type: Organization
Organization Name: Aegis Group Practice, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: AEGIS THERAPIES, INC.
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 8, 2017
Last Updated: Apr 19, 2022

Practice Location

Address: W129N6889 NORTHFIELD DR
City: Menomonee Falls
State: Wisconsin
ZIP Code: 53051-0518
Phone: (479) 201-2000

Authorized Official

Name: MIKE MCOLVIN
Title: DIRECTOR
Phone: (479) 201-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X	Primary

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