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Community Rehab and Performance, LLC

Details

Name: Community Rehab and Performance, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Jan 2021 (4 years ago)
Entity Number: 000-828-417
Register Number: 000828417
County: Lee
Place of Formation: Alabama
Registered Office Street Address: 1702 Woodsome CircleAuburn, AL 36830
Registered Office Street Address ZIP Code: 36830

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144815382 2021-03-09 2021-03-09 560 DEVALL DR STE 201, AUBURN, AL, 368326655, US 560 DEVALL DR STE 201, AUBURN, AL, 368326655, US

Contacts

Phone +1 334-209-1199
Fax 3342096036

Authorized person

Name STEVEN V. KISOR
Role OWNER, PT
Phone 3342091199

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role
Kisor, Steve Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State