Aegis Group Practice LLC
Physical Therapist in Virginia Beach, VA. Organization (NPI-2).
NPI number1043966864
StatusActive
Last updated in NPPESMar 2, 2022
Details
- NPI
- 1043966864
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice LLC
- Organization subpart
- No
- Enumeration date
- Mar 2, 2022
- Certification date
- Mar 2, 2022
- Last updated
- Mar 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
5417 Wesleyan DrVirginia Beach, VA 23455-6922
Phone 757-985-2091 · Fax 479-401-2074
Mailing address
2601 Network Blvd Ste 102Frisco, TX 75034-9092
Phone 972-372-6779 · Fax 479-668-0872
Authorized official
Britt Jeffcoat
Senior Vp
9723726799
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