Aegis Group Practice LLC

NPI #1568049500 in Green Bay, Wisconsin

Provider Information

NPI Number: 1568049500
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 25, 2021
Last Updated: Mar 25, 2021

Practice Location

Address: 1740 CONDOR LN
City: Green Bay
State: Wisconsin
ZIP Code: 54313-7776
Phone: (800) 444-6845

Authorized Official

Name: BRITT JEFFCOAT
Title: SENIOR VP
Phone: (972) 372-6799

Specialties & Taxonomy Codes

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

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