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

Individual provider Occupational Therapist · NPI 1255168050

Tara Licon, OTD is an Occupational Therapist in Buda, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

3480 Jack C Hays Trl
Buda, TX 78610-9390
Phone: (512) 295-2273
Fax: (512) 295-2280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 124802 (TX)

Record details

NPI number1255168050
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorYes
NPI enumeratedSeptember 16, 2024
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address3480 Jack C Hays Trl, Buda, TX 78610-9390

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