Aegis Group Practice LLC

NPI #1275395931 in Omaha, Nebraska

Provider Information

NPI Number: 1275395931
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 29, 2024
Last Updated: Jan 29, 2024

Practice Location

Address: 470 MAXWELL PLZ
City: Omaha
State: Nebraska
ZIP Code: 68154-2997
Phone: (479) 201-6091

Authorized Official

Name: TRACY MCCALL
Title: CREDENTIALING
Phone: (479) 201-6091

Specialties & Taxonomy Codes

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

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