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
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 | |||||||||||||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
BROCK, CATHERINE W | Agent | 312 LENNOX SQUAREFAIRHOPE, AL 36532 |
Name | Role | Address |
---|---|---|
BROCK, CATHERINE W | Director | 312 LENNOX SQUAREFAIRHOPE, AL 36532 |
LOTT, JILL VAN CAMP | Director | 710 DELACHASE COURTDAPHNE, AL 36526 |
Name | Role | Address |
---|---|---|
BROCK, CATHERINE W | Incorporator | 312 LENNOX SQUAREFAIRHOPE, AL 36532 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State