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

Tara Lakes, OT/L

Individual provider Pediatric Occupational Therapist · NPI 1093647885

Tara Lakes, OT/L is a Pediatric Occupational Therapist in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

10049 E Dynamite Blvd Ste 130
Scottsdale, AZ 85262-3695
Phone: (480) 419-0848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OTH-006632 (AZ)

Record details

NPI number1093647885
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT/L
Sole proprietorNo
NPI enumeratedJune 3, 2026
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

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