Aegis Group Practice LLC
NPI #1528831096 in Washington, Illinois
Provider Information
- NPI Number
- 1528831096
- Entity Type
- Organization
- Organization Name
- Aegis Group Practice LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 6, 2023
- Last Updated
- Nov 6, 2023
Practice Location
- Address
- 1150 NEWCASTLE RD
- City
- Washington
- State
- Illinois
- ZIP Code
- 61571-1244
- Phone
- (479) 201-6091
Authorized Official
- Name
- TRACY MCCALL
- Title
- CREDENTIALING
- Phone
- (479) 201-6091
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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