Name: | Kristjan Fridriksson Physical Therapy Services, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 19 Mar 2001 (24 years ago) (Companies founded in March 2001) |
Entity Number: | 000-215-538 |
Register Number: | 000215538 |
ZIP code: | 36695 (Companies in Mobile, 36695) |
County: | Mobile |
Place of Formation: | Mobile County |
Registered Office Street Address: | 5920 GRELOT RD BUILDING H STE BMOBILE, AL 36695 |
Authorized Capital: | 100 NPV |
Activities
PERFORM PHYSICAL THERAPY SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1548291552 | 2006-07-06 | 2012-11-29 | 5901 GRELOT RD, BUILDING B, SUITE B, MOBILE, AL, 36609, US | 5901 GRELOT RD, BUILDING B, SUITE B, MOBILE, AL, 366093603, US | |||||||||||||||||||||||||
|
Phone | +1 251-343-1178 |
Fax | 2513431741 |
Authorized person
Name | MR. KRISTJAN INGI FRIDRIKSSON |
Role | OWNER/PRESIDENT |
Phone | 2513431178 |
Taxonomy
Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
License Number | PTH3558 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS OF ALABAMA |
Number | 51501631 |
State | AL |
Name | Role |
---|---|
FRIDRIKSSON, KRISTJAN | Agent |
Name | Role |
---|---|
FRIDRIKSSON, KRISTJAN | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State