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Aegis Group Practice LLC

Physical Therapist in El Dorado Hills, CA. Organization (NPI-2).

NPI number1053192559
StatusActive
Last updated in NPPESOct 10, 2023

Details

NPI
1053192559
Entity type
Organization (NPI-2)
Legal business name
Aegis Group Practice LLC
Organization subpart
No
Enumeration date
Oct 10, 2023
Certification date
Oct 10, 2023
Last updated
Oct 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes
225X00000X Occupational Therapist––
235Z00000X Speech-Language Pathologist,––

Practice location

4240 Town Center Blvd
El Dorado Hills, CA 95762-7143

Phone 479-201-6091

Mailing address

4933 Old Greenwood Rd
Fort Smith, AR 72903-6906

Authorized official

Tracy McCall
Credentialing
4792016091

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