| Name | EUGENE KAUFMAN |
|---|---|
| Address | 7873 RUSSLING LEAF DR. |
| City | LAS VEGAS |
| State | NV |
| Zip | 89131 |
| Agent Type | Noncommercial Registered Agent |
| Company | PHOENIX PHYSICAL THERAPY AND LONGEVITY CENTER, INCORPORATED |
|---|---|
| Entity Number | E0668912006-5 |
| NV Business ID | NV20061269938 |