Aegis Group Practice LLC
Physical Therapist in Sarasota, FL. Organization (NPI-2).
NPI number1790373538
StatusActive
Last updated in NPPESJan 20, 2021
Details
- NPI
- 1790373538
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice LLC
- Organization subpart
- No
- Enumeration date
- Jan 7, 2021
- Certification date
- Jan 20, 2021
- Last updated
- Jan 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 225X00000X | Occupational Therapist | – | – |
Practice location
5311 Proctor RdSarasota, FL 34233-3826
Phone 941-323-9326 · Fax 479-431-4770
Mailing address
2601 Network Blvd Ste 102Frisco, TX 75034-9092
Phone 972-372-6779
Authorized official
Britt Jeffcoat
Senior Vp
9723726799
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