WEST COAST THERAPY, LLC
Ambulatory Health at 104 Ave, Kent, WA

License number
Washington 504506
Category
Ambulatory Health
Type
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Owner
Name: MS. MARGE GRISHKOFF
Title: MANAGING MEMBER
Phone: (239) 948-0041
Address
Address 2
25022 104Th Ave SE STE B, Kent, WA 98030
23150 Fashion Dr SUITE T-240, Estero, FL 33928
National Provider ID: 1891884250
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WEST COAST THERAPY, LLC at bizstanding.com

WEST COAST THERAPY, LLC

Estero, FL

Status:
Inactive
Inactive reason:
LC WITHDRAWAL
Registration:
Aug 15, 2007
Inactive since:
Apr 30, 2009
Addresses:
23150 Fashion Dr T-240, Estero, FL 33928 (Physical)
23160 Fashion Dr, Estero, FL 33928
23150 Fashion Dr, Estero, FL 33928
State ID:
M07000005013
Business type:
Foreign Limited Liability Company
Entity State:
WA
Managers:
Luis M Duluc Manager, inactive, 23150 Fashion Dr SUITE T-240, Estero, FL 33928 (Physical),Margarita M Grishkoff Manager, inactive, 23150 Fashion Dr SUITE T-240, Estero, FL 33928 (Physical)
Agent:
X
EIN:
091210579

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