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River Region Physical Therapy, LLC

Details

Name: River Region Physical Therapy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Oct 2017 (7 years ago)
Entity Number: 000-405-486
Register Number: 000405486
County: Elmore
Place of Formation: Elmore County
Registered Office Street Address: 556 WINDING WOOD DRIVEWETUMPKA, AL 36093
Registered Office Street Address ZIP Code: 36093

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174012421 2018-05-02 2023-08-10 266 INTERSTATE COMMERCIAL PARK LOOP, PRATTVILLE, AL, 360667361, US 266 INTERSTATE COMMERCIAL PARK LOOP, PRATTVILLE, AL, 360667361, US

Contacts

Phone +1 334-568-2121
Fax 3345682124

Authorized person

Name LISA OSWALD
Role PHYSICAL THERAPIST/OWNER
Phone 3345682121

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
License Number PTH4014
State AL
Is Primary Yes

Agent

Name Role Address
OSWALD, LISA L Agent 556 WINDING WOOD DRIVEWETUMPKA, AL 36093

Organizer

Name Role Address
OSWALD, LISA L Organizer 556 WINDING WOOD DRIVEWETUMPKA, AL 36093

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State