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Therapy South - Andalusia, LLC

Details

Name: Therapy South - Andalusia, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Mar 2017 (8 years ago) (Companies founded in March 2017)
Entity Number: 000-385-092
Register Number: 000385092
ZIP code: 36420 (Companies in Covington, 36420)
County: Covington
Place of Formation: Covington County
Registered Office Street Address: 811 B WEST BYPASSANDALUSIA, AL 36420

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306379797 2017-04-04 2017-04-04 2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL, 352422660, US 811 B WEST BYPASS, ANDALUSIA, AL, 36420, US

Contacts

Phone +1 205-745-3660
Fax 2057453649
Phone +1 334-222-2620

Authorized person

Name STEPHEN FOSTER
Role PRESIDENT
Phone 2057453660

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number 102031
State AL
Is Primary Yes

Agent

Name Role Address
FOSTER, STEPHEN M Agent 2807 GREYSTONE COMMERCIAL BLVD STE34BIRMINGHAM, AL 35242

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State