Provider Demographics
NPI:1811651714
Name:SIERRA PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:SIERRA PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIRANDEEP
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:BOPARAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-671-7977
Mailing Address - Street 1:1110 CIVIC CENTER BLVD STE 502
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-3015
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1110 CIVIC CENTER BLVD STE 502
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-3015
Practice Address - Country:US
Practice Address - Phone:530-671-7977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-26
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty