Aegis Group Practice LLC

NPI #1720787542 in Green Valley, Arizona

Provider Information

NPI Number
1720787542
Entity Type
Organization
Organization Name
Aegis Group Practice LLC
Primary Specialty
Physical Therapist
Enumeration Date
Mar 1, 2023
Last Updated
Mar 1, 2023

Practice Location

Address
661 W CALLE TORRES BLANCAS
State
Arizona
ZIP Code
85614-6433
Phone
(800) 444-6845

Authorized Official

Name
MISTY S WILSON
Title
CONTRACT & CREDENTIALING SPECIALIST
Phone
(972) 372-6779

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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