Aegis Group Practice LLC
NPI #1881311421 in Saint Michael, Minnesota
Provider Information
- NPI Number
- 1881311421
- Entity Type
- Organization
- Organization Name
- Aegis Group Practice LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 25, 2022
- Last Updated
- Oct 25, 2022
Practice Location
- Address
- 4400 LANGE AVE NE
- City
- Saint Michael
- State
- Minnesota
- ZIP Code
- 55376-9556
- Phone
- (763) 777-9445
Authorized Official
- Name
- MISTY S WILSON
- Title
- CONTRACT/CREDENTIALING REP
- Phone
- (972) 372-6779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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