Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 3687 | NC |
Y | 225XH1200X | Occupational Therapist - Hand | 4121 | SC |
NPI | 1124205810 |
---|---|
Provider Name | Colleen Verwer Auger |
First Address | Hilton Head Island, SC 29926-2837 |
Second Address | Hilton Head Island, SC 29926-2837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2008 |
Last Update Date | 21/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3687 | NC LICENSE NUMBER (01) | NC |