Provider Demographics
NPI:1811060320
Name:HORSCHLER, LESLIE CHRISTINE (OTR L)
Entity type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:CHRISTINE
Last Name:HORSCHLER
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 1:964 COUNTRYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-3869
Mailing Address - Country:US
Mailing Address - Phone:330-722-0176
Mailing Address - Fax:
Practice Address - Street 1:1186 HADCOCK RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-3016
Practice Address - Country:US
Practice Address - Phone:330-273-1076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT004412225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist