Provider Demographics
NPI:1922346626
Name:PAIGE-AUKER, STARR LYNDEN
Entity Type:Individual
Prefix:
First Name:STARR
Middle Name:LYNDEN
Last Name:PAIGE-AUKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1627 ORIENTAL RD
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:PA
Mailing Address - Zip Code:17045-8543
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1627 ORIENTAL RD
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:PA
Practice Address - Zip Code:17045-8543
Practice Address - Country:US
Practice Address - Phone:570-539-2262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006963L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist