MEDICARE: ARSHI KHAN OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	056.012664	IL
2	225XP0200X	Pediatric Occupational Therapist	016797-1	NY
3	225XP0200X	Pediatric Occupational Therapist	5336	AZ
4	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1194004812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARSHI KHAN OTR/L

Provider Business Mailing Address
First Line	:	2615 RUTLAND RD
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60564-4745
Country	:	US
Telephone Number	:	925-813-2076
Fax Number	:

Provider Business Practice Location Address
First Line	:	534 W 5TH AVE
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-2901
Country	:	US
Telephone Number	:	925-813-2076
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2011
Last Update Date	:	11/15/2023

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Directions to “ ARSHI KHAN OTR/L” Practice Location

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