Individual provider · Type 1 NPI

Holly Catherine Grace Tavera, OT

Occupational Therapist · Longmont, CO

NPI number 1417414673 Active

Practice location

1610 Dry Creek Dr
Longmont, CO 80503-6405

Call (720) 494-4750 Map

Fax (970) 493-1794

Mailing address

2500 E Prospect Rd
Fort Collins, CO 80525-9718

Other practice locations

  • 300 Exempla Cir Ste 170, Lafayette, CO 80026-3390 · (720) 494-4750
  • 300 W Clarendon Ave Ste 285, Phoenix, AZ 85013-3474 · (602) 279-6905

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X007709 (AZ)
Occupational Therapist Primary 225X00000XOT.0006677 (CO)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1417414673

Holly Catherine Grace Tavera, OT's National Provider Identifier is 1417414673, issued on Feb 25, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Longmont, CO. The record was last updated on Jun 30, 2021.