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CREATIVE PHYSICAL THERAPY CARE PLLC

Company Details

Name: CREATIVE PHYSICAL THERAPY CARE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Sep 2017 (8 years ago)
Entity Number: 5208184
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 108-44 63RD AVENUE 2ND FL, FOREST HILLS, NY, United States, 11375

Contact Details

Phone +1 646-415-2448

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 108-44 63RD AVENUE 2ND FL, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1700545803
Certification Date:
2021-12-16

Authorized Person:

Name:
WADEAA EDWAR MINA IBRAHIMM
Role:
OWNER/PHYSICAL THERAPIST
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
170926000514 2017-09-26 ARTICLES OF ORGANIZATION 2017-09-26

Date of last update: 24 Mar 2025

Sources: New York Secretary of State