Organization
AEGIS THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN BALLWEG (PHYSICAL THERAPIST ASSISTANT)
(608) 235-8364
Entity
Organization
Contact information
Practice address
N892 CLUB CIRCLE DR, PRAIRIE DU SAC, WI 53578-9545
(608) 235-8364
Mailing address
N892 CLUB CIRCLE DR, PRAIRIE DU SAC, WI 53578-9545
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2381
WI
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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