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Eufaula Physical Therapy and Wellness LLC

Details

Name: Eufaula Physical Therapy and Wellness LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Sep 2015 (9 years ago)
Entity Number: 000-344-247
Register Number: 000344247
County: Barbour
Place of Formation: Barbour County
Registered Office Street Address: 335 MACON STREET, SUITE AEUFAULA, AL 36027
Registered Office Street Address ZIP Code: 36027

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184096513 2015-10-26 2015-10-26 335 MACON AVE, SUTE A, EUFAULA, AL, 360271898, US 335 MACON AVE, SUTE A, EUFAULA, AL, 360271898, US

Contacts

Phone +1 334-695-0356

Authorized person

Name LAURIE BOWMAN WHITE
Role PHYSICAL THERAPIST
Phone 3346950356

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number PTH4189
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EUFAULA PT & WELLNESS 401(K) PLAN 2023 474996520 2024-07-17 EUFAULA PHYSICAL THERAPY AND WELLNESS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-10-01
Business code 621340
Sponsor’s telephone number 3346874007
Plan sponsor’s address 335 MACON SUITE A, EUFAULA, AL, 36027

Agent

Name Role
MILLINGTON, QUINN S. Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State