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PORGY & PETUNIA PEDIATRIC THERAPY PLLC

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Company Details

Name: PORGY & PETUNIA PEDIATRIC THERAPY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Oct 2017 (8 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 572865
Place of Formation: IDAHO
File Number: 572865
ZIP code: 83467
County: Lemhi County
Principal Address: 111 LILLIAN ST STE 8 SALMON, ID 83467
Mailing Address: GEORGENA YANOFF 516 MAIN ST PMB 103 SALMON, ID 83467-4219

Agent

Name Role Address
GEORGENA YANOFF Agent 7 RIGGAN LANE, SALMON, ID 83467

Member

Name Role Address Appointed On
Georgena Yanoff Member 7 RIGGAN LN, SALMON, ID 83467 2020-09-07

National Provider Identifier

NPI Number:
1568973436
Certification Date:
2023-10-12

Authorized Person:

Name:
GEORGENA YANOFF
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4843889729

Filing

Filing Name Filing Number Filing date
Annual Report 0005932465 2024-10-07
Annual Report 0005403785 2023-09-16
Annual Report 0004960507 2022-10-24
Annual Report 0004439032 2021-10-05
Annual Report 0003998048 2020-09-07

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Date of last update: 07 Sep 2025

Sources: Idaho Secretary of State