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BOULDER PHYSICAL THERAPY, PLLC

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Company Details

Legal Name: BOULDER PHYSICAL THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 19th 2024
Expiration date: 31 Jan 2026
UBI Number: 605 395 046
ZIP code: 98816
City: Chelan
County: CHELAN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 131 S APPLE BLOSSOM DR UNIT 112, CHELAN, WA, 98816-8827, UNITED STATES

Contact Details

E-Mail: J_ANDERSON11@HOTMAIL.COM
Phone Number: +1 218-791-8759

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JOSHUA ANDERSON Registered Agent 131 S APPLE BLOSSOM DR UNIT 112, CHELAN, WA, 98816-8827, UNITED STATES

Key Officers & Management

Name Role Address
JOSHUA ANDERSON Executor 421 SUNNY BROOKE LN, CHELAN, WA, 98816-3169, UNITED STATES
JOSHUA ANDERSON Governing Person 131 S APPLE BLOSSOM DR, UNIT 112, CHELAN, WA, 98816-8827, UNITED STATES

National Provider Identifier

NPI Number:
1184485633
Certification Date:
2024-01-22

Authorized Person:

Name:
JOSHUA ANDERSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

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