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CENTRALIA PHYSICAL THERAPY, INC., P.S.

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Company Details

Legal Name: CENTRALIA PHYSICAL THERAPY, INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 18th 2012
Expiration date: 31 May 2026
UBI Number: 603 207 996
ZIP code: 98531
City: Centralia
County: LEWIS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1118 VIEW AVE, CENTRALIA, WA, 98531-1870, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1817 S MARKET BLVD, STE C, CHEHALIS, WA, 98532, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $51,093

Contact Details

E-Mail: ERIN@CENTRALIAPT.COM
Phone Number: +1 360-736-5273

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
BEAN, GENTRY, WHEELER & PETERNELL, PLLC Registered Agent 910 LAKERIDGE WAY SW, OLYMPIA, WA, 98502-0000, UNITED STATES

Key Officers & Management

Name Role
JASON BUONO Governing Person
ERIN BUONO Governing Person
TODD GENTZLER Governing Person

National Provider Identifier

NPI Number:
1952666315
Certification Date:
2023-07-10

Authorized Person:

Name:
ERIN D BUONO
Role:
VP
Phone:

Taxonomy:

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

Contacts:

Fax:
3607365053

Paycheck Protection Program

Jobs Reported:
28
Initial Approval Amount:
$270,827
Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$270,827
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$273,394.29
Servicing Lender:
Heritage Bank
Use of Proceeds:
Payroll: $270,827
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