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ORCHARD PHYSICAL THERAPY

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Company Details

Name: ORCHARD PHYSICAL THERAPY
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 10 Jun 1999 (26 years ago)
Entity Number: 93387
Place of Formation: IDAHO
File Number: 0000093387
ZIP code: 83703
County: Ada County
Mailing Address: 3115 SYCAMORE BOISE, ID 83703

National Provider Identifier

NPI Number:
1750588679

Authorized Person:

Name:
MR. DENNIS J ORCHARD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2083431271

Filing

Filing Name Filing Number Filing date
Initial Filing 0000093387 1999-06-10

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State