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WILLOW PEDIATRIC THERAPY, PLLC

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Company Details

Legal Name: WILLOW PEDIATRIC THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 6th 2021
Expiration date: 31 Oct 2025
UBI Number: 604 807 498
ZIP code: 98338
City: Graham
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 11904 214TH ST E, GRAHAM, WA, 98338, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 742, GRAHAM, WA, 98338-0742, UNITED STATES

Contact Details

E-Mail: MATTLAURASTUART@GMAIL.COM
Phone Number: +1 206-403-0479

Nature of Business

Health Care, Social Assistance & Service Organization, PROFESSIONAL PEDIATRIC OCCUPATIONAL THERAPY

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Registered Agent Information

Name Role Address
GOLDSTEIN LAW OFFICE PLLC Registered Agent 1800 COOPER POINT RD SW STE 8, OLYMPIA, WA, 98502-1179, UNITED STATES

Key Officers & Management

Name Role Address
LAURA STUART Executor PO BOX 873, GRAHAM, WA, 98338-0873, UNITED STATES
LAURA STUART Governing Person -

National Provider Identifier

NPI Number:
1902569890
Certification Date:
2021-10-18

Authorized Person:

Name:
LAURA STUART
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

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