Aegis Group Practice LLC

NPI #1710445580 in Kimberly, Wisconsin

Provider Information

NPI Number: 1710445580
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 11, 2019
Last Updated: Mar 11, 2019

Practice Location

Address: 825 COBBLESTONE LN
City: Kimberly
State: Wisconsin
ZIP Code: 54136-2116
Phone: (800) 444-6845

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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