Aegis Group Practice LLC

NPI #1467042028 in Greenwood, Indiana

Provider Information

NPI Number: 1467042028
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 19, 2021
Last Updated: Sep 15, 2022

Practice Location

Address: 3177 MERIDIAN PARKE DR
City: Greenwood
State: Indiana
ZIP Code: 46142-9629
Phone: (800) 444-6845

Authorized Official

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

Specialties & Taxonomy Codes

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

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