Healthcare Provider Details

I. General information

NPI: 1376408591
Provider Name (Legal Business Name): TAYLOR R SANDERS OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 GARDEN RD STE 200
MONTEREY CA
93940-5334
US

IV. Provider business mailing address

326 MOOSEHEAD DR
APTOS CA
95003-4553
US

V. Phone/Fax

Practice location:
  • Phone: 831-250-6770
  • Fax: 831-250-6767
Mailing address:
  • Phone: 831-250-6770
  • Fax: 831-250-6767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number28569
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: