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
MICHAEL MCOLVIN (VICE PRESIDENT)
(479) 201-2744
Entity
Organization
Contact information
Practice address
3175 RIVER EXCHANGE DR, PEACHTREE CORNERS, GA 30092-4271
(800) 444-6845
Mailing address
3175 RIVER EXCHANGE DR, PEACHTREE CORNERS, GA 30092-4271
(800) 444-6845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/20/2017
Last updated
02/21/2017
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