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MOUNTLAKE SPORTS & PHYSICAL THERAPY, P.S.

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Company Details

Legal Name: MOUNTLAKE SPORTS & PHYSICAL THERAPY, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 8th 1997
Expiration date: 31 Jul 2025
UBI Number: 601 804 005
ZIP code: 98204
City: Everett
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 12811 8TH AVE W STE A101, EVERETT, WA, 98204-6369, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $40,332

Contact Details

E-Mail: KKOBACK@ROMEROPARK.COM
Phone Number: +1 425-379-8120

Nature of Business

PHYSICAL THERAPY SERVICES

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Registered Agent Information

Name Role Address
ROMERO PARK PS Registered Agent 1019 W JAMES ST, SUITE 102, KENT, WA, 98032-4474, UNITED STATES

Key Officers & Management

Name Role Address
EDWIN MALIJAN Governing Person 18316-71ST AVE W, LYNNWOOD, WA, 98037, UNITED STATES
THERESA MALIJAN Governing Person 18316-71ST AVE W, LYNNWOOD, WA, 98037, UNITED STATES

National Provider Identifier

NPI Number:
1528331402

Authorized Person:

Name:
JAMIE MALIJAN
Role:
CLINICAL MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
No
Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
4253381789

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$31,365
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$31,365
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$31,559.26
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $31,365
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