| Name: | Children's Therapy of Tuscaloosa, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 17 Dec 2001 (23 years ago) |
| Date of dissolution: | 23 Dec 2013 |
| Entity Number: | 000-220-116 |
| Register Number: | 000220116 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 535 JACK WARNER PARKWAY NE E-1TUSCALOOSA, AL 35404 |
| Registered Office Street Address ZIP Code: | 35404 |
| Authorized Capital: | $100 |
Activities
PRACTICE OF OCCUPATIONAL THERAPY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275682866 | 2007-01-10 | 2020-08-22 | 4236 MCFARLAND BLVD, NORTHPORT, AL, 354762814, US | 4236 MCFARLAND BLVD, NORTHPORT, AL, 354762814, US | |||||||||||||||||||||||||
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| Phone | +1 205-339-0900 |
| Fax | 2053390991 |
Authorized person
| Name | SHARON LYNN SUTTON |
| Role | PRESIDENT |
| Phone | 2053390900 |
Taxonomy
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| License Number | 0178 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER |
| Number | 51505518SUT |
| State | AL |
| Name | Role |
|---|---|
| SUTTON, SHARON L | Agent |
| Name | Role |
|---|---|
| SUTTON, SHARON L | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
