Aegis Group Practice, LLC

NPI #1902517444 in La Quinta, California

Provider Information

NPI Number: 1902517444
Entity Type: Organization
Organization Name: Aegis Group Practice, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 6, 2022
Last Updated: Dec 6, 2022

Practice Location

Address: 45160 SEELEY DR
City: La Quinta
State: California
ZIP Code: 92253-6890
Phone: (800) 444-6845

Authorized Official

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

Specialties & Taxonomy Codes

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

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