| Name: | East Alabama Specialty Therapy Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Aug 2012 (12 years ago) |
| Entity Number: | 000-043-434 |
| Register Number: | 000043434 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | 2415 MOORES MILL RD SUITE 265-128AUBURN, AL 36830 |
| Principal Address ZIP Code: | 36830 |
| Registered Office Street Address: | 1805 RAYMER PLACEAUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
Activities
PROVIDE SPECIALTY THERAPY TO PEDIATRICS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528317849 | 2012-08-31 | 2012-08-31 | 2415 MOORES MILL RD, SUITE 265-128, AUBURN, AL, 368308480, US | 1805 RAYMER PL, AUBURN, AL, 368302187, US | |||||||||||||||||||||||
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| Phone | +1 334-759-0111 |
| Fax | 3345217251 |
Authorized person
| Name | JENNIE BELLE LOMBARDO |
| Role | CEO MANAGER |
| Phone | 3347590111 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOMBARDO, JENNIE B | Agent | 2415 MOORES MILL RD SUITE 265-128AUBURN, AL 36830 |
| Name | Role | Address |
|---|---|---|
| LOMBARDO, JENNIE B | Organizer | 2415 MOORES MILL RD SUITE 265-128AUBURN, AL 36830 |
| LOMBARDO, ERIC A | Organizer | 2415 MOORES MILL RD SUITE 265-128AUBURN, AL 36830 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
