Provider Demographics
NPI:1124120456
Name:FLEIG, ERIN COLLEEN (OTR/L, CHT)
Entity type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:COLLEEN
Last Name:FLEIG
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 STOCKBRIDGE RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-1773
Mailing Address - Country:US
Mailing Address - Phone:413-644-0194
Mailing Address - Fax:413-644-0195
Practice Address - Street 1:20 STOCKBRIDGE RD
Practice Address - Street 2:SUITE 8
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1773
Practice Address - Country:US
Practice Address - Phone:413-644-0194
Practice Address - Fax:413-644-0195
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9136225XH1200X
NY005675-1225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAFL Y69870Medicare PIN