SEA PINES PHYSICAL THERAPY PLLC

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Company Details

Legal Name:	SEA PINES PHYSICAL THERAPY PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	November 5th 2020
Expiration date:	30 Nov 2025
UBI Number:	604 672 547
ZIP code:	98126
City:	Seattle
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	4617 37TH AVE SW, SEATTLE, WA, 98126-2749, UNITED STATES
Principal Office Mailing Address:	3724 WALNUT AVE SW, SEATTLE, WA, 98116-3838, UNITED STATES

Contact Details

E-Mail:	LAUREN@LBURGON.COM
Phone Number:	+1 206-953-0349

Nature of Business

Any Lawful Purpose

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Registered Agent Information

Name	Role
LAW OFFICE OF LAUREN BURGON PLLC	Registered Agent

Key Officers & Management

Name	Role	Address
LAUREN BURGON	Executor	3217 44TH AVE SW, SEATTLE, WA, 98116-3324, UNITED STATES
ANDREW HOLLOWAY	Governing Person	-

National Provider Identifier

NPI Number:

1730785833

Certification Date:

2020-12-05

Link:

View on NPI website

Authorized Person:

Name:

STEPHANIE HOLLOWAY

Role:

MANAGER

Phone:

2069530348

Taxonomy:

Selected Taxonomy:

261QP2000X - Physical Therapy Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 206-953-0348

Form 5500 Series

Employer Identification Number (EIN):

853853234

Plan Year:

2024

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's telephone number:

2066140256

File:

Plan Administrator / Signatory:

QIAN LIU(Plan administrator)

Plan Year:

2023

Number Of Participants:

7

Plan Name:

401(K)

Sponsor's telephone number:

2066140256

File:

Plan Administrator / Signatory:

QIAN LIU(Plan administrator)

Plan Year:

2022

Number Of Participants:

2

Plan Name:

401(K)

Sponsor's telephone number:

2066140256

File:

Plan Administrator / Signatory:

CHRISTINE RIMER(Plan administrator)

Plan Year:

2021

Number Of Participants:

0

Plan Name:

401(K)

Sponsor's telephone number:

2066140256

File:

Plan Administrator / Signatory:

CHRISTINE RIMER(Plan administrator)

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