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Active Physical Therapy, Inc.

Details

Name: Active Physical Therapy, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 23 Mar 2004 (21 years ago)
Date of dissolution: 30 Jun 2010
Entity Number: 000-234-348
Register Number: 000234348
County: Morgan
Place of Formation: Morgan County
Principal Address: DECATUR, AL
Registered Office Street Address: 2424 DANVILLE RD STE MDECATUR, AL 35603
Registered Office Street Address ZIP Code: 35603
Authorized Capital: 100 NPV

Activities OPERATE A PHYSICAL THERAPY CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558583708 2007-05-03 2020-08-22 2424 DANVILLE RD. SW, STE M, DECATUR, AL, 35603, US 2424 DANVILLE RD. SW, STE M, DECATUR, AL, 35603, US

Contacts

Phone +1 256-351-6048
Fax 2563018980

Authorized person

Name MITCHELL C HAMRIC
Role PHYSICAL THERAPY
Phone 2563516048

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
License Number 12722
State AL
Is Primary Yes

Agent

Name Role Address
MILLAR, GREGORY B Agent 2021 CLINTON AVE W SUITE AHUNTSVILLE, AL 35805

Incorporator

Name Role Address
MILLAR, GREGORY B Incorporator 2021 CLINTON AVE W SUITE AHUNTSVILLE, AL 35805

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State