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EMPIRE PEDIATRIC THERAPY, LLC

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Company Details

Legal Name: EMPIRE PEDIATRIC THERAPY, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: March 19th 2017
Date of Dissolution: November 17th 2017
Expiration date: 31 Mar 2018
UBI Number: 604 105 240
ZIP code: 99223
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2527 E 27TH, SPOKANE, WA, 99223, UNITED STATES

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Registered Agent Information

Name Role Address
MAILE MOHSENIAN Registered Agent 2527 E 27TH, SPOKANE, WA, 99223-0000, UNITED STATES

Key Officers & Management

National Provider Identifier

NPI Number:
1700318219

Authorized Person:

Name:
MAILE MOHSENIAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Fax:
5092792636
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