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Business location

Provide Physical Therapy

This listing describes a business location. Location dates are not company formation dates.

Record reference date: October 18, 2026. Details may be incomplete or outdated.

Record type
Business location
Record identifier
1358477-04-241-1157428
Status
No End Date Reported
City
Santa Rosa
State or territory
California
Address
2324 Malachite Way
Postal code
95404
Location start
April 17, 2024
Location identifier
1358477-04-241-1157428
Ownership name (as reported)
Fung Kwan Lau
DBA name
Provide Physical Therapy

Names and reported roles

Roles are shown as reported. Agents, officers and principals are not automatically owners.

Business names

DBA name
Provide Physical Therapy

Ownership names (as reported)

Ownership name (as reported)
Fung Kwan Lau

Download business record (JSON)

Directory details

Identifiers

Business Account
1157428
Location
1358477-04-241

Names

Ownership As Reported
Fung Kwan Lau
Dba
Provide Physical Therapy

Addresses

Business · Text
2324 Malachite Way
Business · City
Santa Rosa
Business · Region
CA
Business · Postal Code
95404
Mailing · Street 1
2324 Malachite Way
Mailing · City
Santa Rosa
Mailing · Region
CA
Mailing · Postal Code
95404

Dates

Business Start
2024-04-17
Location Start
2024-04-17

Industry

Naics Code
621610

Taxes

Parking Tax Reported
No
Transient Occupancy Tax Reported
No

Geography

Reported Point
{"longitude":-122.701235461,"latitude":38.418058459}

All reported fields

Other reported details

Uniqueid
1358477-04-241-1157428
Certificate number
1157428
Ttxid
1358477-04-241
Dba start date
04/17/2024
Parking tax
false
Transient occupancy tax
false
Data as of
2026/10/18 12:00:00 AM
Data loaded at
2026/10/18 04:12:51 AM

Names and reported roles

Ownership name (as reported)
Fung Kwan Lau
Dba name
Provide Physical Therapy

Addresses and locations

Full business address
2324 Malachite Way
City
Santa Rosa
State
CA
Business zip
95404
Location start date
04/17/2024
Location
POINT (-122.701235461 38.418058459)

Mailing information

Mailing address 1
2324 Malachite Way
Mail city
Santa Rosa
Mail state
CA
Mail zipcode
95404

Industry and classification

Self reported naics code
621610

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