National Provider Identifier

Elkin Grey Koenig, MS OTR

Elkin Grey Koenig, MS OTR is listed in the NPPES registry with a primary specialty of Occupational Therapist in Elmira, NY and a listed phone number of (076) 733-6541.

NPI 1871928143Elmira, NYOccupational Therapist

Profile Overview

NPI
1871928143
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
September 05, 2013
Last Updated
October 28, 2024

Practice Location

  • 555 Saint Josephs Blvd Ste A
  • Elmira, NY 14901-3223

Phone: (076) 733-6541

Mailing Address

  • 512 Morley Pl
  • Elmira, NY 14904-2630

Specialties

  • Occupational Therapist (225X00000X)
  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1871928143
Entity Type
Individual
Last Name
Koenig
First Name
Elkin
Middle Name
Grey
Credential
MS OTR
Mailing Street Address
512 Morley Pl
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14904-2630
Mailing Country
US
Mailing Phone
(716) 725-3703
Practice Street Address
555 Saint Josephs Blvd Ste A
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3223
Practice Country
US
Practice Phone
(076) 733-6541
Enumeration Date
September 05, 2013
Last Updated
October 28, 2024
Sex
X
Sole Proprietor
No
Certification Date
October 28, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Pediatric Occupational Therapist (225XP0200X)