# INNOVATIVE OCCUPATIONAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477154011
- **Authorized official:** KEYJONN VELAZQUEZ MS (OTR/L)
- **Authorized official phone:** (213) 787-4301

## Contact information

- **Practice address:** 21750 HARDY OAK BLVD STE 104, SAN ANTONIO, TX 78258-4946
- **Practice address phone:** (213) 787-4301
- **Mailing address:** 21750 HARDY OAK BLVD STE 104, SAN ANTONIO, TX 78258-4946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/02/2020
- **Last updated:** 09/15/2025