Provider Demographics
NPI:1225579022
Name:ECKSTEIN, ERIKA LYNN (MOT, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:LYNN
Last Name:ECKSTEIN
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:MRS
Other - First Name:ERIKA
Other - Middle Name:LYNN
Other - Last Name:SLOCUM
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:13916 BROWN RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16404-5506
Mailing Address - Country:US
Mailing Address - Phone:814-967-5231
Mailing Address - Fax:
Practice Address - Street 1:81 E DILLON DR
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16354-2402
Practice Address - Country:US
Practice Address - Phone:814-827-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012386225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist