Aegis Group Practice LLC

NPI #1306336565 in Onalaska, Wisconsin

Provider Information

NPI Number
1306336565
Entity Type
Organization
Organization Name
Aegis Group Practice LLC
Primary Specialty
Physical Therapist
Enumeration Date
May 14, 2018
Last Updated
Sep 15, 2022

Practice Location

Address
861 CRITTER CT
ZIP Code
54650-8689
Phone
(800) 444-6845

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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