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Aegis Group Practice LLC

Physical Therapist in Mansfield, OH. Organization (NPI-2).

NPI number1093389751
StatusActive
Last updated in NPPESMay 18, 2021

Details

NPI
1093389751
Entity type
Organization (NPI-2)
Legal business name
Aegis Group Practice LLC
Organization subpart
No
Enumeration date
May 18, 2021
Certification date
May 18, 2021
Last updated
May 18, 2021

Taxonomy and licenses

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

Practice location

1296 S Trimble Rd
Mansfield, OH 44906-2970

Phone 800-444-6845

Mailing address

2601 Network Blvd Ste 102
Frisco, TX 75034-9092

Phone 972-372-6779 · Fax 479-668-0872

Authorized official

Britt Jeffcoat
Senior Vp
9723726799

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