Organization
AEGIS GROUP PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITT JEFFCOAT (SENIOR VP)
(972) 372-6799
Entity
Organization
Contact information
Practice address
800 WALL ST, ELM GROVE, WI 53122-2631
(800) 444-6845
(479) 478-2852
Mailing address
4933 OLD GREENWOOD RD, FORT SMITH, AR 72903-6906
(479) 201-6147
(479) 401-2239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/22/2019
Last updated
11/22/2021
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