| Organization Name: | SEQUOIA PHYSICAL THERAPY, INC |
| NPI Number: | 1174559223 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RON L CRAM (OWNER) |
| Mailing Address: | 6131 Orangethorpe Ave Suite 135 Buena Park |
| State: | CA US |
| Postal Code: | 906204901 |
| Phone Number: | 7145233822 |
| Fax Number: | 7145233873 |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 10/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |