| Name: | Therapy South - Gardendale, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Jul 2022 (2 years ago) |
| Entity Number: | 001-031-128 |
| Register Number: | 001031128 |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2823 Greystone Commercial BlvdBirmingham, AL 35242-2660 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407569346 | 2023-01-05 | 2023-03-01 | 2823 GREYSTONE COMMERCIAL BLVD, HOOVER, AL, 352422660, US | 1011 MAIN ST, GARDENDALE, AL, 350715401, US | |||||||||||||||||||||
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| Phone | +1 205-745-3660 |
| Phone | +1 205-651-4350 |
Authorized person
| Name | STEPHEN FOSTER |
| Role | PRESIDENT |
| Phone | 2057453660 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PHONE |
| Number | 2056514350 |
| State | AL |
| Name | Role |
|---|---|
| TherapyManager, LLC | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
