Aegis Group Practice LLC

NPI #1467132944 in Fridley, Minnesota

Provider Information

NPI Number: 1467132944
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 20, 2023
Last Updated: Jul 20, 2023

Practice Location

Address: 6490 CENTRAL AVE NE
City: Fridley
State: Minnesota
ZIP Code: 55432-5106
Phone: (800) 444-6845

Authorized Official

Name: TRACY MCCALL
Title: CONTRACT SPECIALIST
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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