Individual
MAUREEN KELLY MCGURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCTMB
Contact information
Practice address
11200 CROSSBEAM CT, RESTON, VA 20194-1345
(516) 816-0799
Mailing address
11200 CROSSBEAM CT, RESTON, VA 20194-1345
(516) 816-0799
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016192
VA
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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