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P4 Physical Therapy - Winfield LLC

Details

Name: P4 Physical Therapy - Winfield LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 01 Apr 2020 (5 years ago)
Date of dissolution: 03 Sep 2024
Entity Number: 000-626-990
Register Number: 000626990
County: Jefferson
Place of Formation: Montgomery County
Registered Office Street Address: 8059 MITCHELL LANEBIRMINGHAM, AL 35216
Registered Office Street Address ZIP Code: 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790314722 2020-04-02 2021-07-20 8059 MITCHELL LN, VESTAVIA HILLS, AL, 352166821, US 1860 US HIGHWAY 43, WINFIELD, AL, 355945062, US

Contacts

Phone +1 205-478-4418
Phone +1 205-495-2073

Authorized person

Name MICHELLE SMITH
Role REVENUE CYCLE MANAGER
Phone 2056070632

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role
HUMMEL, CHRIS Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State