Organization
AEGIS GROUP PRACTICE LLC
Active
Parent organization
AEGIS THERAPIES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEGIS THERAPIES, INC.
Authorized official
HOLLY RASMUSSEN-JONES (SECRETARY)
(479) 201-4835
Entity
Organization
Contact information
Practice address
895 CANTON RD NE, BLDG 200, STE 100, MARIETTA, GA 30060-8934
(877) 823-8375
Mailing address
1000 FIANNA WAY, MAIL DROP 4840, FORT SMITH, AR 72919-4840
(479) 201-4840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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