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The Pediatric Therapy Center, LLC

Details

Name: The Pediatric Therapy Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Oct 2012 (12 years ago)
Entity Number: 000-268-329
Register Number: 000268329
Historical Names: THE OCCUPATIONAL THERAPY CENTER, LLC
County: Tuscaloosa
Place of Formation: Marshall County
Registered Office Street Address: 2423 OLD HUNTSVILLE HIGHWAYARAB, AL 35486
Registered Office Street Address ZIP Code: 35486
Registered Office Mailing Address: 417 HILL AVENUEGUNTERSVILLE, AL 35976
Registered Office Mailing Address ZIP Code: 35976

Activities OCCUPATIONAL THERAPY FOR OUTPATIENTS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679819957 2012-12-14 2019-08-22 417 HILL AVE, GUNTERSVILLE, AL, 359761115, US 627 E MAIN ST, ALBERTVILLE, AL, 359502461, US

Contacts

Phone +1 256-683-1582
Phone +1 256-849-0444
Fax 2568490445

Authorized person

Name MRS. ELIZABETH BUTLER HAMM
Role REGISTERED AGENT
Phone 2566831582

Taxonomy

Taxonomy Code 225X00000X - Occupational Therapist
License Number 1381
State AL
Is Primary No
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Agent

Name Role Address
HAMM, ELIZABETH Agent 417 HILL AVENUEGUNTERSVILLE, AL 35976

Organizer

Name Role Address
HAMM, ELIZABETH Organizer 417 HILL AVENUEGUNTERSVILLE, AL 35976

Events

Event Date Event Type Old Value New Value
2019-11-06 Name Change THE OCCUPATIONAL THERAPY CENTER, LLC The Pediatric Therapy Center, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State