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Kristjan Fridriksson Physical Therapy Services, Inc.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
FRIDRIKSSON, KRISTJAN Agent

Incorporator

Name Role
FRIDRIKSSON, KRISTJAN Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State