Provider Demographics
NPI:1851476618
Name:SKIGEN, AURA (PT)
Entity Type:Individual
Prefix:MRS
First Name:AURA
Middle Name:
Last Name:SKIGEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:AURA
Other - Middle Name:
Other - Last Name:STOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2130 P ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1016
Mailing Address - Country:US
Mailing Address - Phone:202-331-1790
Mailing Address - Fax:202-331-1792
Practice Address - Street 1:2130 P ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1016
Practice Address - Country:US
Practice Address - Phone:202-331-1790
Practice Address - Fax:202-331-1792
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204464225100000X
DCPT871661208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist