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ENJATI/JOHNSON OCCUPATIONAL AND PHYSICAL THERAPY, PS

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Company Details

Legal Name: ENJATI/JOHNSON OCCUPATIONAL AND PHYSICAL THERAPY, PS
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 26th 2020
Expiration date: 31 Mar 2026
UBI Number: 604 588 694
Home State: PENNSYLVANIA
Principal Office Street Address: Google Maps Logo 101 E STATE ST, KENNETT SQ, PA, 19348, UNITED STATES

Contact Details

E-Mail: QING.CHEN@GENESISHCC.COM
Phone Number: +1 610-444-6350

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Key Officers & Management

Name Role Address
MATTHEW KURCZEWSKI Governing Person -
HARON ELKANAH Governing Person -
MADHU ENJATI Incorporator 2608 W 15TH AVE, SPOKANE, WA, 99224-5550, UNITED STATES
AMY JOHNSON Incorporator 23727 SE 248TH ST, MAPLE VALLEY, WA, 98038-8364, UNITED STATES

National Provider Identifier

NPI Number:
1548977531
Certification Date:
2022-10-31

Authorized Person:

Name:
CARL ANTHONY SHROM
Role:
CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0400X - Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

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