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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:
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
Link:
View on NPI website
Authorized Person:
Name:
MAILE MOHSENIAN
Role:
OWNER
Phone:
5097017651
Taxonomy:
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes
Contacts:
Phone:
+1 509-701-7651
Fax:
5092792636
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