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Pike Pediatric Therapy, LLC

Details

Name: Pike Pediatric Therapy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Jan 2019 (6 years ago)
Entity Number: 000-541-791
Register Number: 000541791
County: Pike
Place of Formation: Pike County
Registered Office Street Address: 107 MEADOW LANETROY, AL 36079
Registered Office Street Address ZIP Code: 36079

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225595598 2019-02-22 2022-06-28 107 MEADOWS LN, TROY, AL, 360796055, US 1300 HIGHWAY 231 S, TROY, AL, 360813058, US

Contacts

Phone +1 334-268-3379
Phone +1 334-600-4055
Fax 3346472900

Authorized person

Name ALEXANDRIA G SHAVER
Role OWNER/SLP
Phone 3346004055

Taxonomy

Taxonomy Code 261QH0700X - Hearing and Speech Clinic/Center
Is Primary Yes

Agent

Name Role Address
SHAVER, ALEXANDRIA G Agent 107 MEADOW LANETROY, AL 36079

Organizer

Name Role Address
SHAVER, ALEXANDRIA G Organizer 107 MEADOW LANETROY, AL 36079

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State