Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Taylor Alicia Tavares, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1508788019

Taylor Alicia Tavares, OTD, OTR/L is an Occupational Therapist in Granite Bay, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2026
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

9747 Sierra College Blvd
Granite Bay, CA 95746-6320
Phone: (916) 846-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1101 Secret Ravine Pkwy, Roseville, CA 95661-4097 — (916) 436-7579
  • 275 Roseville Pkwy, Roseville, CA 95747-7594 — (916) 432-2878

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 28340 (CA)

Record details

NPI number1508788019
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedJuly 27, 2026
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

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