| John Brian Leclerc, OTR/L | |
|
816 W Midway Dr, Grafton, ND 58237-7501 | |
| (701) 352-4545 | |
| Not Available |
| Full Name | John Brian Leclerc |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 816 W Midway Dr, Grafton, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326513482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 105770 (Minnesota) | Secondary |
| 225X00000X | Occupational Therapist | 1648 (North Dakota) | Primary |
| Provider Name | Life Skills And Transition Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558427708 PECOS PAC ID: 7113986159 Enrollment ID: O20041006000563 |
| Mailing Address | Practice Location Address |
|---|---|
| John Brian Leclerc, OTR/L 816 W Midway Dr, Grafton, ND 58237-7501 Ph: (701) 352-4545 | John Brian Leclerc, OTR/L 816 W Midway Dr, Grafton, ND 58237-7501 Ph: (701) 352-4545 |
Mrs. Mary Dusek, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 701 W 6th St, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188 | |
Jacy Jane Whaley, MOTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 701 W 6th St, Grafton, ND 58237 Phone: 701-352-4545 | |
Angela Faith Solseng, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 W 6th St, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188 | |
Averi Ashton Lundebrek, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 816 W Midway Dr, Grafton, ND 58237 Phone: 701-330-8812 | |
Lexie Anne Woinarowicz, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1454 Mchugh Ave, Grafton, ND 58237 Phone: 701-360-3219 | |
Ashley Mathiason, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 516 Cooper Avenue, Suite 102, Grafton, ND 58237 Phone: 701-352-2574 Fax: 701-352-0188 |