| Name: | P4 Physical Therapy - Gardendale LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 16 Nov 2021 (3 years ago) (Companies founded in November 2021) |
| Date of dissolution: | 12 Jan 2023 |
| Entity Number: | 000-953-167 |
| Register Number: | 000953167 |
| ZIP code: | 35216 (Companies in Jefferson, 35216) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 8059 MITCHELL LANEBIRMINGHAM, AL 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750047486 | 2021-11-17 | 2021-11-29 | 8059 MITCHELL LN, VESTAVIA HILLS, AL, 352166821, US | 2244 NORTH RD, GARDENDALE, AL, 350712214, US | |||||||||||||||||
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| Phone | +1 205-607-0632 |
| Phone | +1 205-418-1080 |
| Fax | 2054181082 |
Authorized person
| Name | MICHELLE SMITH |
| Role | REVENUE CYCLE MANAGER |
| Phone | 2056070632 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DONALD L. SMITH, JR | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
