Aegis Group Practice LLC

NPI #1942017793 in Rogers, Minnesota

Provider Information

NPI Number: 1942017793
Entity Type: Organization
Organization Name: Aegis Group Practice LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 16, 2024
Last Updated: Dec 16, 2024

Practice Location

Address: 21900 S DIAMOND LAKE RD
City: Rogers
State: Minnesota
ZIP Code: 55374-4640
Phone: (479) 201-6091

Authorized Official

Name: TRACY MCCALL
Title: CREDENTIALING
Phone: (479) 201-6091

Specialties & Taxonomy Codes

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

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