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PREFERRED PHYSICAL THERAPY, P.A.

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Company Details

Name: PREFERRED PHYSICAL THERAPY, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 10 Mar 2005 (20 years ago)
Financial Date End: 31 Mar 2014
Date dissolved: 17 Jun 2014
Entity Number: 483758
Place of Formation: IDAHO
File Number: 0000483758
ZIP code: 83651
County: Canyon County
Mailing Address: 2118 W BLOSSOM AVE NAMPA, ID 83651

National Provider Identifier

NPI Number:
1447389093

Authorized Person:

Name:
MR. JEREMY THOMAS PETTINGER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2089830114

Filing

Filing Name Filing Number Filing date
Annual Report 0003014786 2013-05-02
Annual Report 0003014785 2012-03-29
Annual Report 0003014791 2011-01-29
Annual Report 0003014790 2010-02-07
Annual Report 0003014789 2009-01-18

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State