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Alabama Pediatric Therapy Services, LLC

Details

Name: Alabama Pediatric Therapy Services, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 08 Jan 2016 (9 years ago) (Companies founded in January 2016)
Entity Number: 000-355-466
Register Number: 000355466
ZIP code: 35121 (Companies in Blount, 35121)
County: Blount
Place of Formation: Blount County
Registered Office Mailing Address: 86 CHERRY WOOD RDONEONTA, AL 35121
Registered Office Street Address: 315 6TH STREET SOUTHONEONTA, AL 35121

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265898001 2016-01-09 2017-03-22 315 6TH ST S, ONEONTA, AL, 351211828, US 315 6TH ST S, ONEONTA, AL, 351211828, US

Contacts

Phone +1 256-504-6097

Authorized person

Name KATIE NEAL
Role OWNER/OCCUPATIONAL THERAPIST
Phone 2565046097

Taxonomy

Taxonomy Code 225X00000X - Occupational Therapist
License Number 3971
State AL
Is Primary Yes
Taxonomy Code 235Z00000X - Speech-Language Pathologist
License Number 3700
State AL
Is Primary No

Agent

Name Role
NEAL, KATIE Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State