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EW Motion Therapy Liberty Park, LLC

Details

Name: EW Motion Therapy Liberty Park, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 Aug 2022 (2 years ago) (Companies founded in August 2022)
Entity Number: 001-034-114
Register Number: 001034114
ZIP code: 35223 (Companies in Jefferson, 35223)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 4 Office Park Circle, Ste. 217Birmingham, AL 35223

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013645357 2022-08-14 2022-08-14 4 OFFICE PARK CIR STE 217, MOUNTAIN BRK, AL, 352232674, US 4 OFFICE PARK CIR STE 217, MOUNTAIN BRK, AL, 352232674, US

Contacts

Phone +1 205-263-2770
Fax 2052630994

Authorized person

Name RACHEL L GOLDEN
Role BUSINESS MANAGER
Phone 2052632770

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
White, Ethan Agent 3125 Independence Drive, Suite 300BBirmingham, AL 35209

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State