| Name: | Embrace Pediatric Therapy, LLC. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Apr 2022 (3 years ago) |
| Entity Number: | 001-012-539 |
| Register Number: | 001012539 |
| County: | Baldwin |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 8909 Rand AveDaphne, AL 36526 |
| Registered Office Street Address ZIP Code: | 36526 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922749340 | 2022-04-07 | 2022-04-07 | 44850 LINDA JONES RD, BAY MINETTE, AL, 365078753, US | 8909 RAND AVE, DAPHNE, AL, 365269126, US | |||||||||||||||||||
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| Phone | +1 205-999-7882 |
Authorized person
| Name | MRS. JULIE ANN MOHLER |
| Role | OT/ OWNER |
| Phone | 2059997882 |
Taxonomy
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 177074 |
| State | AL |
| Name | Role |
|---|---|
| Mohler, Julie T | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
