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BAINBRIDGE PEDIATRIC THERAPY, LLC

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Company Details

Legal Name: BAINBRIDGE PEDIATRIC THERAPY, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: September 5th 2012
Date of Dissolution: October 20th 2020
Expiration date: 30 Sep 2020
UBI Number: 603 235 408
ZIP code: 98110
City: Bainbridge Island
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1173 MADISON AVE N, BAINBRIDGE IS, WA, 98110-1782, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 7829 NE ESPERIONE LN, BAINBRIDGE ISLAND, WA, 98110-2650, UNITED STATES

Contact Details

E-Mail: VALERIEB@BIPEDTHERAPY.COM
Phone Number: +1 206-972-0648

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
VALERIE BAUTISTA Registered Agent 7829 NE ESPERIONE LN, BAINBRIDGE ISLAND, WA, 98110-2650, UNITED STATES

Key Officers & Management

Name Role
VALERIE BAUTISTA Governing Person

National Provider Identifier

NPI Number:
1275171498
Certification Date:
2019-12-18

Authorized Person:

Name:
VALERIE BAUTISTA
Role:
OTR/OWER BAINBRIDGE PED THERAPY
Phone:

Taxonomy:

Selected Taxonomy:
225XP0200X - Pediatric Occupational Therapist
Is Primary:
Yes

Contacts:

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