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WILDFLOWER PEDIATRIC THERAPY LLC

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Company Details

Legal Name: WILDFLOWER PEDIATRIC THERAPY LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: May 25th 2018
Date of Dissolution: October 3rd 2019
Expiration date: 31 May 2019
UBI Number: 604 280 663
ZIP code: 98902
City: Yakima
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 304 N 34TH AVE, YAKIMA, WA, 98902-2220, UNITED STATES

Contact Details

E-Mail: LAURAMOEOT@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LAURA MOE Registered Agent 304 N 34TH AVE, YAKIMA, WA, 98902-2220, UNITED STATES

Key Officers & Management

Name Role Address
LAURA MOE Executor 304 N 34TH AVE, YAKIMA, WA, 98902-2220, UNITED STATES
LAURA MOE Governing Person 304 N 34TH AVE, YAKIMA, WA, 98902-2220, UNITED STATES

National Provider Identifier

NPI Number:
1063908382

Authorized Person:

Name:
LAURA MOE
Role:
OCCUPATIONAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
225XP0200X - Pediatric Occupational Therapist
Is Primary:
Yes

Contacts:

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