Individual
LEILANI S BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD / OTR/L
Contact information
Practice address
2706 PINNACLE DR, BURLESON, TX 76028-8315
(817) 475-3358
Mailing address
2706 PINNACLE DR, BURLESON, TX 76028-8315
(817) 475-3358
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193428301
—
TX
01
—
8T8722
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
01/24/2008
Last updated
04/04/2025
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