Aegis Group Practice LLC

NPI #1508368598 in Wildwood, Missouri

Provider Information

NPI Number: 1508368598
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 6, 2018
Last Updated: Mar 6, 2018

Practice Location

Address: 251 PLAZA DR
City: Wildwood
State: Missouri
ZIP Code: 63040-1203
Phone: (800) 444-6845

Authorized Official

Name: MICHAEL MCOLVIN
Title: VP-FINANCE
Phone: (479) 201-2000

Specialties & Taxonomy Codes

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

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