Aegis Group Practice LLC
Occupational Therapist in Augusta, GA. Organization (NPI-2).
NPI number1306366646
StatusActive
Last updated in NPPESOct 4, 2021
Details
- NPI
- 1306366646
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice LLC
- Organization subpart
- Yes
- Enumeration date
- Jun 27, 2017
- Certification date
- Oct 4, 2021
- Last updated
- Oct 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
724 Greene St Apt 814Augusta, GA 30901-2340
Phone 800-444-6845
Mailing address
4933 Old Greenwood RdFort Smith, AR 72903-6906
Phone 479-201-2000
Authorized official
Michael McOlvin
Director
4792012000
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