Organization
AEGIS GROUP PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCOLVIN (VP-FINANCE)
(479) 201-2000
Entity
Organization
Contact information
Practice address
3515 E HAMILTON AVE, EAU CLAIRE, WI 54701-6881
(800) 444-6845
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
03/12/2019
Last updated
04/19/2022
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