Aegis Group Practice LLC

NPI #1588209175 in Monona, Wisconsin

Provider Information

NPI Number: 1588209175
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 7, 2019
Last Updated: Nov 7, 2019

Practice Location

Address: 111 OWEN RD
City: Monona
State: Wisconsin
ZIP Code: 53716-3585
Phone: (608) 692-1830

Authorized Official

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

Specialties & Taxonomy Codes

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

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