MEDICARE: LESLIE C ERICKSON OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	31000509A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346565298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE C ERICKSON OT

Provider Business Mailing Address
First Line	:	524 E MCKINLEY AVE STE 1
Second Line	:
City	:	MISHAWAKA
State	:	IN
Zip	:	46545-6285
Country	:	US
Telephone Number	:	574-255-8730
Fax Number	:	574-255-8732

Provider Business Practice Location Address
First Line	:	3222 MISHAWAKA AVE
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46615-2352
Country	:	US
Telephone Number	:	574-255-8730
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2010
Last Update Date	:	06/24/2024

Similar Medicare Providers

1881648582 — ARKADUISZ M DEBICKI PT
Practice Location Address:

3222 MISHAWAKA AVE
SOUTH BEND, IN
46615-2352

Practice Phone: 574-255-8730
Practice Fax:

1497824577 — CONCEPT THERAPY PROFESSIONAL CORPORATION
Practice Location Address:

3222 MISHAWAKA AVE
SOUTH BEND, IN
46615-2352

Practice Phone: 574-255-8730
Practice Fax:

1033391412 — KATIE A DEBICKI SLP
Practice Location Address:

3222 MISHAWAKA AVE
SOUTH BEND, IN
46615-2352

Practice Phone: 574-255-8730
Practice Fax:

1235996737 — CONCEPT CARE AT HOME
Practice Location Address:

3222 MISHAWAKA AVE
SOUTH BEND, IN
46615-2352

Practice Phone: 574-387-5459
Practice Fax:

1629806823 — CONCEPT THERAPY HOME HEALTH LLC
Practice Location Address:

3222 E MISHAWAKA AVE
SOUTH BEND, IN
46615-2352

Practice Phone: 574-255-8730
Practice Fax: 574-217-8235

1477589182 — DR. ALFRED GALAZ PHD
Practice Location Address:

705 SOUTH ADAMS AVENUE
MCGREGOR, TX
76657-2352

Practice Phone: 254-931-1410
Practice Fax: 866-792-6239

Directions to “ LESLIE C ERICKSON OT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.