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
6234 MAYWOOD AVE, MIDDLETON, WI 53562-2205
(800) 444-6845
Mailing address
2601 NETWORK BLVD STE 102, FRISCO, TX 75034-9092
(972) 372-6779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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