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EW Motion Therapy Lakeview, LLC

Details

Name: EW Motion Therapy Lakeview, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 20 Jul 2016 (8 years ago) (Companies founded in July 2016)
Date of dissolution: 23 Feb 2022
Entity Number: 000-367-663
Register Number: 000367663
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 3125 INDEPENDENCE DRIVE SUITE 300BBIRMINGHAM, AL 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730532029 2016-07-21 2016-07-21 4 OFFICE PARK CIR STE 217, MOUNTAIN BRK, AL, 352232674, US 2808 7TH AVE S STE 111, BIRMINGHAM, AL, 352332862, US

Contacts

Phone +1 205-263-2770
Fax 2052630994
Phone +1 205-745-3976
Fax 2054534221

Authorized person

Name RACHEL GOLDEN
Role BUSINESS MANAGER
Phone 2052632770

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
WHITE, ETHAN Agent 3125 INDEPENDENCE DRIVE, SUITE 300BBIRMINGHAM, AL 35209

Organizer

Name Role Address
WHITE, ETHAN Organizer 3125 INDEPENDENCE DRIVE, SUITE 300BBIRMINGHAM, AL 35209

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State