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ALABAMA PHYSICAL THERAPY SERVICES OF BIRMINGHAM, LLC

Details

Name: ALABAMA PHYSICAL THERAPY SERVICES OF BIRMINGHAM, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 Jul 2022 (2 years ago)
Entity Number: 001-028-904
Register Number: 001028904
County: Montgomery
Place of Formation: Alabama
Registered Office Street Address: 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841992237 2023-03-20 2023-03-20 PO BOX 51266, LAFAYETTE, LA, 705051266, US 400 UNIVERSITY PARK DR, BIRMINGHAM, AL, 352096784, US

Contacts

Phone +1 337-233-1307

Authorized person

Name JOSHUA L PROFFITT
Role CEO
Phone 3372331307

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
Is Primary No

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State