Healthcare Provider Details

I. General information

NPI: 1760773303
Provider Name (Legal Business Name): MAUREEN PATRICIA AUGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2011
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43443 THISTLEWOOD CT
ASHBURN VA
20147-5303
US

IV. Provider business mailing address

43443 THISTLEWOOD CT
ASHBURN VA
20147-5303
US

V. Phone/Fax

Practice location:
  • Phone: 703-581-5715
  • Fax:
Mailing address:
  • Phone: 703-581-5715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0119004091
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: