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FISHERS LANDING PHYSICAL THERAPY, LLC

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Company Details

Legal Name: FISHERS LANDING PHYSICAL THERAPY, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: October 18th 2004
Date of Dissolution: February 1st 2012
Expiration date: 31 Oct 2011
UBI Number: 602 438 438
ZIP code: 98683
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3200 SE 164TH AVE #101, VANCOUVER, WA, 98683, UNITED STATES

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Registered Agent Information

Name Role Address
JAMES D MULLINS Registered Agent 105 WEST EVERGREEN BLVD # 200, VANCOUVER, WA, 98660, UNITED STATES

Key Officers & Management

Name Role Address
DONALD BAAS Governing Person 268 IRONWOOD LANE, REDDING, CA, 96003, UNITED STATES
DONALD BAAS EXECUTOR 268 IRONWOOD LN, REDDING, CA, 96003, UNITED STATES

National Provider Identifier

NPI Number:
1982800124

Authorized Person:

Name:
DONALD R BAAS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3603351109
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