Healthcare Provider Details

I. General information

NPI: 1699682658
Provider Name (Legal Business Name): SIERRA C SEARLE OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2016 MILAN WAY
LINCOLN CA
95648-2735
US

IV. Provider business mailing address

2016 MILAN WAY
LINCOLN CA
95648-2735
US

V. Phone/Fax

Practice location:
  • Phone: 530-887-8685
  • Fax:
Mailing address:
  • Phone: 530-887-8685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number28857
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: