Aegis Group Practice LLC

NPI #1427820687 in East Bethel, Minnesota

Provider Information

NPI Number: 1427820687
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 23, 2023
Last Updated: Oct 23, 2023

Practice Location

Address: 19131 TAYLOR ST NE
City: East Bethel
State: Minnesota
ZIP Code: 55011-4422
Phone: (479) 201-6091

Authorized Official

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

Specialties & Taxonomy Codes

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

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