Individual provider · Type 1 NPI
Taylor Alicia Tavares, OTD, OTR/L
Occupational Therapist · Granite Bay, CA
Practice location
9747 Sierra College Blvd
Granite Bay, CA 95746-6320
Mailing address
1003 Folsom Ranch Dr Apt 103
Folsom, CA 95630-5144
Other practice locations
- 275 Roseville Pkwy, Roseville, CA 95747-7594 · (916) 432-2878
- 1101 Secret Ravine Pkwy, Roseville, CA 95661-4097 · (916) 436-7579
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 28340 (CA) |
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…
2 other providers at this address
Other occupational therapist providers in Granite Bay
About NPI 1508788019
Taylor Alicia Tavares, OTD, OTR/L's National Provider Identifier is 1508788019, issued on Jul 27, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Granite Bay, CA. The record was last updated on Jul 27, 2026.