| Name: | Industrial Physical Therapy, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 07 Dec 2000 (24 years ago) |
| Date of dissolution: | 29 Apr 2022 |
| Entity Number: | 000-673-023 |
| Register Number: | 000673023 |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | SOUTHSIDE, AL |
| Registered Office Street Address: | 3880 HOOD DRSOUTHSIDE, AL 35907 |
| Registered Office Street Address ZIP Code: | 35907 |
Activities
PHYSICAL REHABILITATION
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740680941 | 2014-08-26 | 2014-08-26 | 3880 HOOD DR, SOUTHSIDE, AL, 359077077, US | 922 E MEIGHAN BLVD, GADSDEN, AL, 359031922, US | |||||||||||||||||||||||||
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| Phone | +1 256-490-7749 |
| Phone | +1 256-549-2688 |
Authorized person
| Name | MRS. SHERAL B. SERAFINI |
| Role | PHYSICAL THERAPIST/OWNER |
| Phone | 2564907749 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PTH1385 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CAQH |
| Number | 12176717 |
| State | AL |
| Name | Role |
|---|---|
| SERAFINI, SHERAL B | Agent |
| Name | Role |
|---|---|
| SERAFINI, SHERAL B | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
