Name: | Elite Physical Therapy and Wellness Center, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 24 Feb 2016 (9 years ago) (Companies founded in February 2016) |
Entity Number: | 000-354-257 |
Register Number: | 000354257 |
Place of Formation: | Montgomery County |
Authorized Capital: | 1000 @ $1.00PV |
Activities
PHYSICAL THERAPY PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1639523798 | 2016-04-14 | 2016-04-14 | 1404 S BRUNDIDGE ST, TROY, AL, 360813129, US | 1404 S BRUNDIDGE ST, TROY, AL, 360813129, US | |||||||||||||||||||
|
Phone | +1 334-770-0649 |
Fax | 3347700650 |
Authorized person
Name | SABRINA L. PENNINGTON |
Role | CEO/OWNER |
Phone | 3347700649 |
Taxonomy
Taxonomy Code | 305R00000X - Preferred Provider Organization |
License Number | PTH4195 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MCBRIDE, RICHARD L JR | Agent | 1784 TALIAFERRO TRAIL STE BMONTGOMERY, AL 36117 |
Name | Role | Address |
---|---|---|
PENNINGTON, SABRINA L | Director | 104 EMILY COURTTROY, AL 36079 |
Name | Role | Address |
---|---|---|
MCBRIDE, RICHARD L JR | Incorporator | 1784 TALIAFERRO TRAIL STE BMONTGOMERY, AL 36117 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State