Aegis Group Practice LLC
Occupational Therapist in Roswell, GA. Organization (NPI-2).
NPI number1083097992
StatusActive
Last updated in NPPESNov 23, 2021
Details
- NPI
- 1083097992
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 9, 2015
- Certification date
- Nov 23, 2021
- Last updated
- Nov 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
11725 Pointe PlRoswell, GA 30076-4636
Phone 479-201-2000 · Fax 479-201-4801
Mailing address
4933 Old Greenwood RdFort Smith, AR 72903-6906
Phone 479-201-6147 · Fax 479-401-2239
Authorized official
Britt Jeffcoat
Senior Vp
9723726799
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