Organization
INNOVATIVE OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYJONN VELAZQUEZ MS (OTR/L)
(213) 787-4301
Entity
Organization
Contact information
Practice address
21750 HARDY OAK BLVD STE 104, SAN ANTONIO, TX 78258-4946
(213) 787-4301
Mailing address
21750 HARDY OAK BLVD STE 104, SAN ANTONIO, TX 78258-4946
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
11/02/2020
Last updated
09/15/2025
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