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P4 Physical Therapy - Florence LLC

Details

Name: P4 Physical Therapy - Florence LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 13 Dec 2021 (3 years ago)
Date of dissolution: 12 Jan 2023
Entity Number: 000-956-777
Register Number: 000956777
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 8059 Mitchell LaneBirmingham, AL 35216
Registered Office Street Address ZIP Code: 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538828991 2021-12-14 2022-03-25 8059 MITCHELL LN, VESTAVIA HILLS, AL, 352166821, US 2122 HELTON DR, FLORENCE, AL, 356301449, US

Contacts

Phone +1 205-607-0632
Phone +1 256-980-1310

Authorized person

Name MICHELLE E SMITH
Role REVENUE CYCLE MANAGER
Phone 2056070632

Taxonomy

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

Agent

Name Role
Smith, Donald L Agent

Organizer

Name Role Address
Jackman, Laura M Organizer 800 Shades Creek Parkway, Suite 400Birmingham, AL 35209

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State