Aegis Group Practice LLC

NPI #1992423974 in Faribault, Minnesota

Provider Information

NPI Number
1992423974
Entity Type
Organization
Organization Name
Aegis Group Practice LLC
Primary Specialty
Physical Therapist
Enumeration Date
Aug 16, 2022
Last Updated
Aug 16, 2022

Practice Location

Address
1520 17TH ST NW
ZIP Code
55021-2817
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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