| Name: | Spine and Rehab Solutions, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 10 Jan 2014 (11 years ago) |
| Date of dissolution: | 13 Feb 2024 |
| Entity Number: | 000-294-923 |
| Register Number: | 000294923 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | 901 LOCKENBIE PLACEDAUPHIN ISLAND, AL 36528 |
| Principal Address ZIP Code: | 36528 |
Activities
PHYSICAL THERAPY AND REHABILITATION SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750703286 | 2014-01-17 | 2014-09-17 | 820 S UNIVERSITY BLVD, STE 1A, MOBILE, AL, 366097858, US | 820 S UNIVERSITY BLVD, STE 1A, MOBILE, AL, 366097858, US | |||||||||||||||||||||||||
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| Phone | +1 251-301-7066 |
| Fax | 2513017058 |
Authorized person
| Name | DR. SHARON YOUNG |
| Role | MANAGING MEMBER |
| Phone | 2513017066 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PTH1107 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 51008986 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| RHODES, SHARON | Agent | 901 LOCKENBIE PLACEDAUPHIN ISLAND, AL 36528 |
| Name | Role | Address |
|---|---|---|
| RHODES, SHARON | Organizer | 901 LOCKENBIE PLACEDAUPHIN ISLAND, AL 36528 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
