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Specialized Therapy Services, Inc.

Details

Name: Specialized Therapy Services, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 08 Sep 2015 (9 years ago)
Entity Number: 000-344-463
Register Number: 000344463
County: Baldwin
Place of Formation: Baldwin County
Principal Address: 312 LENNOX SQUAREFAIRHOPE, AL 36532
Principal Address ZIP Code: 36532
Authorized Capital: 100000 @ $.01PV

Activities SPECIALIZED THERAPEUTIC SERVICES AND TREATMENT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518339001 2015-10-23 2020-04-16 2200 US HIGHWAY 98 STE 4, #320, DAPHNE, AL, 365264382, US 8720 RAND AVE, DAPHNE, AL, 365269102, US

Contacts

Phone +1 251-990-9082
Fax 2519903707

Authorized person

Name MRS. JILL VAN CAMP LOTT
Role OWNER / PRESIDENT
Phone 2519909082

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number PTH-3828
State AL
Is Primary Yes
Taxonomy Code 2251N0400X - Neurology Physical Therapist
License Number PTH-3828
State AL
Is Primary No
Taxonomy Code 2251X0800X - Orthopedic Physical Therapist
License Number PTH-3828
State AL
Is Primary No

Agent

Name Role Address
BROCK, CATHERINE W Agent 312 LENNOX SQUAREFAIRHOPE, AL 36532

Director

Name Role Address
BROCK, CATHERINE W Director 312 LENNOX SQUAREFAIRHOPE, AL 36532
LOTT, JILL VAN CAMP Director 710 DELACHASE COURTDAPHNE, AL 36526

Incorporator

Name Role Address
BROCK, CATHERINE W Incorporator 312 LENNOX SQUAREFAIRHOPE, AL 36532

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State