Organization · NPI-2
Aegis Group Practice, LLC
Physical Therapist · Greenville, SC
NPI number1821600735
StatusActive
Last updated in NPPESAug 21, 2020
Details
- NPI
- 1821600735
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice, LLC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2020
- Certification date
- Aug 21, 2020
- Last updated
- Aug 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
1306 Pelham RdGreenville, SC 29615-3600
Phone 800-444-6845
Mailing address
2601 Network Blvd Ste 102Frisco, TX 75034-9092
Phone 972-372-6779
Authorized official
Michael Mcolvin
Vp-Finance
4792012000
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