Individual
LESLEY ADDISON KHAN-FAROOQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, OTD, OTR
Contact information
Practice address
12309 N MOPAC EXPY, AUSTIN, TX 78758-2577
(512) 324-9170
Mailing address
3707 S 2ND ST STE 100, AUSTIN, TX 78704-7049
(512) 324-9170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0TT.200450
LA
225X00000X
Occupational Therapist
Primary
11189
MA
225X00000X
Occupational Therapist
116942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116942
OT LICENSE
TX
Enumeration date
09/15/2011
Last updated
05/19/2022
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