Provider Demographics
NPI:1205304623
Name:AUKSTAKALNIS, GREER (OTR/L)
Entity type:Individual
Prefix:
First Name:GREER
Middle Name:
Last Name:AUKSTAKALNIS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 N CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17098-1438
Mailing Address - Country:US
Mailing Address - Phone:717-732-3798
Mailing Address - Fax:
Practice Address - Street 1:159 N CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17098-1438
Practice Address - Country:US
Practice Address - Phone:717-512-8769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC004291L224ZE0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224ZE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantEnvironmental Modification