Aegis Group Practice LLC

NPI #1447773957 in Becker, Minnesota

Provider Information

NPI Number: 1447773957
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Subpart: Yes (part of a larger organization)
Parent Organization: AEGIS GROUP PRACTICE LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 18, 2017
Last Updated: Jul 18, 2017

Practice Location

Address: 11175 27TH AVE SE
City: Becker
State: Minnesota
ZIP Code: 55308-4658
Phone: (800) 444-6845

Authorized Official

Name: MICHAEL MCOLVIN
Title: VICE PRESIDENT OF FINANCE
Phone: (479) 201-6100

Specialties & Taxonomy Codes

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

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