Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Catherine Grace Tavera, OT

Individual provider Occupational Therapist · NPI 1417414673

Holly Catherine Grace Tavera, OT is an Occupational Therapist in Longmont, Colorado. Works from 3 locations. Licensed in Arizona and Colorado.

Licensed in
AZ, CO
In the registry since
2019
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

1610 Dry Creek Dr
Longmont, CO 80503-6405
Phone: (720) 494-4750
Fax: (970) 493-1794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT.0006677 (CO)
Occupational Therapist Taxonomy 225X00000X · Licence 007709 (AZ)

Record details

NPI number1417414673
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedFebruary 25, 2019
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021

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