Name: | Integrity Rehab & Therapy Services, Inc. |
Jurisdiction: | Alabama |
Legal type: | Foreign Corporation |
Status: | Exists |
Date of registration: | 02 Jan 2004 (21 years ago) |
Entity Number: | 000-927-005 |
Register Number: | 000927005 |
County: | Montgomery |
Place of Formation: | Michigan |
Registered Office Street Address: | 1725 W 4TH STMONTGOMERY, AL 36106 |
Registered Office Street Address ZIP Code: | 36106 |
Principal Address: | 21711 W 10 MILE RD STE 116SOUTHFIELD, MI 48075 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1871615898 | 2007-04-03 | 2014-03-13 | 1725 W 4TH ST, STE 200, MONTGOMERY, AL, 361061509, US | 1725 W 4TH ST, STE 200, MONTGOMERY, AL, 361061509, US | |||||||||||||||||||||
|
Phone | +1 334-269-4724 |
Fax | 3342694725 |
Authorized person
Name | MS. CHARLOTTE L. MCCRAY |
Role | PRESIDENT |
Phone | 3342694724 |
Taxonomy
Taxonomy Code | 225100000X - Physical Therapist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS AL # |
Number | 51521130 |
State | AL |
Name | Role |
---|---|
DAVIS, LEON MD | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State