Provider Demographics
NPI:1598131070
Name:SEQUOIA SEEDS
Entity Type:Organization
Organization Name:SEQUOIA SEEDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASMIRRI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:267-250-4846
Mailing Address - Street 1:120 UPLAND RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-3510
Mailing Address - Country:US
Mailing Address - Phone:267-250-4846
Mailing Address - Fax:
Practice Address - Street 1:120 UPLAND RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-3510
Practice Address - Country:US
Practice Address - Phone:267-250-4846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency