Provider Demographics
NPI:1891002101
Name:VELIZ, ANGELICA F (OTR)
Entity Type:Individual
Prefix:MS
First Name:ANGELICA
Middle Name:F
Last Name:VELIZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 BAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-5701
Mailing Address - Country:US
Mailing Address - Phone:956-279-4368
Mailing Address - Fax:
Practice Address - Street 1:1917 BAYLOR AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-5701
Practice Address - Country:US
Practice Address - Phone:956-279-4368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113082225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist