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Star Physical Therapy LLC

Details

Name: Star Physical Therapy LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Jun 2012 (12 years ago) (Companies founded in June 2012)
Entity Number: 000-064-593
Register Number: 000064593
ZIP code: 35150 (Companies in Talladega, 35150)
County: Talladega
Place of Formation: Talladega County
Principal Address: 1035 WEST FORT WILLIAMS STREETSYLACAUGA, AL 35150
Principal Mailing Address: PO BOX 369SYLACAUGA, AL 35150
Registered Office Street Address: 923 15TH AVENUE SWCHILDERSBURG, AL 35044

Activities PHYSICAL THERAPY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558624825 2012-06-20 2022-12-16 1035 W FORT WILLIAMS ST, SYLACAUGA, AL, 351502301, US 1035 W FORT WILLIAMS ST, SYLACAUGA, AL, 351502301, US

Contacts

Phone +1 256-404-1931

Authorized person

Name TODD MALONE
Role DIRECTOR
Phone 2564041931

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
License Number PTH5126
State AL
Is Primary Yes

Agent

Name Role Address
MALONE, TODD Agent 923 15TH AVENUE SWCHILDERSBURG, AL 35044

Organizer

Name Role Address
MALONE, TODD Organizer 923 15TH AVENUE SWCHILDERSBURG, AL 35044

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State