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RENAISSANCE PHYSICAL THERAPY NW, P.S.

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Company Details

Legal Name: RENAISSANCE PHYSICAL THERAPY NW, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: September 29th 1999
Date of Dissolution: February 3rd 2018
Expiration date: 30 Sep 2017
UBI Number: 601 983 330

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Registered Agent Information

Name Role Address
TRACY CUNNINGHAM Registered Agent 8751 NE 144TH CT, KIRKLAND, WA, 98034-0711, UNITED STATES

Key Officers & Management

Name Role Address
BENJAMIN HARRIS Governing Person 20214 BALLINGER WAY NE, SEATTLE, WA, 98155, UNITED STATES
TRACY CUNNINGHAM Governing Person 8751 NE 144TH CT, KIRKLAND, WA, 98034, UNITED STATES

National Provider Identifier

NPI Number:
1578691929

Authorized Person:

Name:
MS. TRACY CUNNINGHAM
Role:
CORPORATE SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
2251X0800X - Orthopedic Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
4254812998
Fax:
2063646556
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