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P4 Physical Therapy - HWY. 280 LLC

Details

Name: P4 Physical Therapy - HWY. 280 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: 000-953-170
Register Number: 000953170
ZIP code: 35216 (Companies in Jefferson, 35216)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 8059 Mitchell LaneBIRMINGHAM, AL 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1124784855 2021-11-17 2021-11-29 8059 MITCHELL LN, VESTAVIA HILLS, AL, 352166821, US 215 NARROWS PKWY, BIRMINGHAM, AL, 352428603, US

Contacts

Phone +1 205-607-0632
Phone +1 205-719-2420
Fax 2057192468

Authorized person

Name MICHELLE SMITH
Role REVENUE CYCLE MANAGER
Phone 2055314200

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Agent

Name Role
DONALD L. SMITH, JR. Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State