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Industrial Physical Therapy, LLC

Details

Name: Industrial Physical Therapy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 07 Dec 2000 (24 years ago) (Companies founded in December 2000)
Date of dissolution: 29 Apr 2022
Entity Number: 000-673-023
Register Number: 000673023
ZIP code: 35907 (Companies in Etowah, 35907)
County: Etowah
Place of Formation: Etowah County
Principal Address: SOUTHSIDE, AL
Registered Office Street Address: 3880 HOOD DRSOUTHSIDE, AL 35907

Activities PHYSICAL REHABILITATION

National Provider Identifier

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

Contacts

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

Agent

Name Role
SERAFINI, SHERAL B Agent

Member

Name Role
SERAFINI, SHERAL B Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State