Organization · NPI-2
Aegis Group Practice LLC
Occupational Therapist · Saint Louis, MO
NPI number1831642768
StatusActive
Last updated in NPPESJul 27, 2016
Details
- NPI
- 1831642768
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Group Practice LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 27, 2016
- Last updated
- Jul 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
8825 Eager RdSaint Louis, MO 63144-1205
Phone 479-201-2000 · Fax 479-201-4801
Mailing address
1000 Fianna Way#md4843
Fort Smith, AR 72919-9008
Phone 479-201-2000 · Fax 479-201-4801
Authorized official
Holly Rasmussen-Jones
Secretary
4792012000
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