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SOUTH SOUND PHYSICAL AND HAND THERAPY, PLLC

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Company Details

Legal Name: SOUTH SOUND PHYSICAL AND HAND THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Merged
Formation/ Registration Date: April 26th 2002
Date of Dissolution: January 1st 2020
Expiration date: 30 Apr 2020
UBI Number: 602 199 538
ZIP code: 98012
City: Bothell
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4220 132ND ST SE, STE 202, BOTHELL, WA, 98012-8999, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 4220 132ND ST SE, STE 202, MILL CREEK, WA, 98012-8999, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,360

Contact Details

E-Mail: SHANNON.OKELLEY@IRGPT.COM
Phone Number: +1 425-316-8046

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JEFFREY PRATT Registered Agent 4220 132ND ST SE STE 201, MILL CREEK, WA, 98012-8999, UNITED STATES

Key Officers & Management

Name Role
M SHANNON O'KELLEY Governing Person

National Provider Identifier

NPI Number:
1245265883

Authorized Person:

Name:
MICHAEL SHANNON O'KELLEY
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225XH1200X - Hand Occupational Therapist
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4253579382
Fax:
3603527680
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