MEDICARE: SIERRA CRAIG OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist		CA

General Provider Information

NPI Number	:	1265166110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIERRA CRAIG OTR/L

Provider Business Mailing Address
First Line	:	1154 HOLMES CT
Second Line	:
City	:	LIVERMORE
State	:	CA
Zip	:	94550-4109
Country	:	US
Telephone Number	:	925-785-9120
Fax Number	:

Provider Business Practice Location Address
First Line	:	4471 STONERIDGE DR
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-8404
Country	:	US
Telephone Number	:	925-425-9071
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2022
Last Update Date	:	04/10/2026

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Directions to “ SIERRA CRAIG OTR/L” Practice Location

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