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NORTHWOODS WELLNESS PHYSICAL & OCCUPATIONAL THERAPY, PLLC

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Company Details

Name: NORTHWOODS WELLNESS PHYSICAL & OCCUPATIONAL THERAPY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Feb 2008 (17 years ago)
Entity Number: 3632170
ZIP code: 12883
County: Essex
Place of Formation: New York
Address: 106 MONTCALM STREET, TICONDEROGA, NY, United States, 12883

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 106 MONTCALM STREET, TICONDEROGA, NY, United States, 12883

National Provider Identifier

NPI Number:
1003099078

Authorized Person:

Name:
MRS. DAWN MARIE BAZAN
Role:
OWNER AND OCCUPATIONAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Fax:
5185859286

Filings

Filing Number Date Filed Type Effective Date
100226002329 2010-02-26 BIENNIAL STATEMENT 2010-02-01
080616000753 2008-06-16 CERTIFICATE OF PUBLICATION 2008-06-16
080215000076 2008-02-15 ARTICLES OF ORGANIZATION 2008-02-15

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State