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ACTIVE SEATTLE PHYSICAL THERAPY, PLLC

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Company Details

Legal Name: ACTIVE SEATTLE PHYSICAL THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: September 30th 2024
Date of Dissolution: April 2nd 2025
Expiration date: 30 Sep 2025
UBI Number: 605 620 524
ZIP code: 98107
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1500 NW 63RD ST, SEATTLE, WA, 98107-2338, UNITED STATES

Contact Details

E-Mail: BENDEHAN@GMAIL.COM

Nature of Business

Other Services, PHYSICAL THERAPY

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Registered Agent Information

Name Role Address
UNITED STATES CORPORATION AGENTS, INC. Registered Agent 14205 SE 36TH ST STE 100, BELLEVUE, WA, 98006-1553, UNITED STATES

Key Officers & Management

Name Role Address
EDWARD DEHAN Executor 23 FERN AVE, MILL VALLEY, CA, 94941-2824, UNITED STATES
EDWARD DEHAN Governing Person -
CYNTHIA DEHAN Governing Person -
JAMES MCGUIRE Governing Person -
HANNA PRANGE Governing Person -

National Provider Identifier

NPI Number:
1649090176
Certification Date:
2024-10-10

Authorized Person:

Name:
LEAH NOTTINGHAM
Role:
CPO
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2067353166
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