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PACIFIC REHABILITATION & SPORTS MEDICINE, INC.

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Company Details

Legal Name: PACIFIC REHABILITATION & SPORTS MEDICINE, INC.
Jurisdiction: WASHINGTON
Entity Type: FOREIGN PROFIT CORPORATION
Category: FOREIGN ENTITY
Status: Terminated
Formation/ Registration Date: March 21st 1994
Date of Dissolution: July 3rd 2017
Expiration date: 31 Mar 2017
UBI Number: 601 476 893
ZIP code: 98502
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1801 W BAY DR NW #206, OLYMPIA, WA, 98502, UNITED STATES

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Registered Agent Information

Name Role Address
C T CORPORATION SYSTEM Registered Agent 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role Address
JOHN DUGGAN Governing Person 4714 GETTYSBURG RD, MECHANICSBURG, PA, 17055, UNITED STATES
SCOTT ROMBERGER Governing Person 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055, UNITED STATES
DAVID CHERNOW Governing Person 4714 GETTYSBURG RD, MECHANICSBURG, PA, 17055, UNITED STATES
MICHAEL TARVIN Governing Person 4714 GETTYSBURG ROAD, MECHANICSBURG, PA, 17055, UNITED STATES

National Provider Identifier

NPI Number:
1053356717
Link:
View on NPI website

Authorized Person:

Name:
MICHAEL E TARVIN
Role:
VICE PRESIDENT
Phone:
7179754503

Taxonomy:

Selected Taxonomy:
261QR0400X - Rehabilitation Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 717-975-4503
Fax:
7179759781
Phone:
+1 425-235-5588
Fax:
4256879410
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