Provider Demographics
NPI:1609137751
Name:SEARS, SYLVIA YOLANDA (PTA)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:YOLANDA
Last Name:SEARS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MISS
Other - First Name:SYLVIA
Other - Middle Name:YOLANDA
Other - Last Name:BAKKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10211 HIALEAH DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-4162
Mailing Address - Country:US
Mailing Address - Phone:714-827-4412
Mailing Address - Fax:
Practice Address - Street 1:3430 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90040-3104
Practice Address - Country:US
Practice Address - Phone:323-838-2761
Practice Address - Fax:323-838-2769
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT2335225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant