| Name: | Pediatric Therapy Services LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Nov 2008 (16 years ago) |
| Entity Number: | 000-427-038 |
| Register Number: | 000427038 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 1031 OAK STMONTGOMERY, AL 36108 |
| Registered Office Street Address ZIP Code: | 36108 |
Activities
PEDIATRIC THERAPY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548302680 | 2007-02-13 | 2008-09-08 | PO BOX 9496, MONTGOMERY, AL, 361080010, US | 1031 OAK ST, MONTGOMERY, AL, 361082829, US | |||||||||||||||||||
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| Phone | +1 334-264-8988 |
Authorized person
| Name | MRS. DANITA JOHNSON |
| Role | CEO |
| Phone | 33426489788 |
Taxonomy
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529904430 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| JOHNSON, DANITA | Agent | 5921 CARMICHAEL ROADMONTGOMERY, AL 36117 |
| Name | Role | Address |
|---|---|---|
| JOHNSON, DANITA | Member | 5921 CARMICHAEL ROADMONTGOMERY, AL 36117 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
