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I Can Pediatric Occupational Therapy LLC

Details

Name: I Can Pediatric Occupational Therapy LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 05 Jun 2023 (a year ago)
Entity Number: 001-082-821
Register Number: 001082821
County: Shelby
Place of Formation: Alabama
Registered Office Street Address: 4614 Hwy 280 #1195Birmingham, AL 35242
Registered Office Street Address ZIP Code: 35242

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
HJTRXR4NRDN6 2025-04-02 116 66TH ST S, BIRMINGHAM, AL, 35212, 1838, USA 505 20TH ST N, SUITE 1220 1061, BIRMINGHAM, AL, 35203, USA

Business Information

URL icanpediatricot.com
Division Name I CAN PEDIATRIC OCCUPATIONAL THERAPY, LLC
Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2024-04-05
Initial Registration Date 2024-03-08
Entity Start Date 2023-06-01
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 611710, 621340, 621610
Product and Service Codes Q201, Q403, Q516, R410, U001, U006, U008, U099

Points of Contacts

Electronic Business
Title PRIMARY POC
Name DENISE DIXON
Address 505 20TH ST N, SUITE 1220 1061, BIRMINGHAM, AL, 35203, USA
Government Business
Title PRIMARY POC
Name DENISE DIXON
Address 505 20TH ST N, SUITE 1220 1061, BIRMINGHAM, AL, 35203, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447936752 2023-06-22 2023-06-22 4614 HIGHWAY 280 # 1195, BIRMINGHAM, AL, 352425028, US 4614 HIGHWAY 280 # 1195, BIRMINGHAM, AL, 352425028, US

Contacts

Phone +1 919-360-6689

Authorized person

Name DENISE DIXON
Role OCCUPATIONAL THERAPY
Phone 9193606689

Taxonomy

Taxonomy Code 225XP0200X - Pediatric Occupational Therapist
Is Primary Yes

Agent

Name Role
Dixon, Denise Agent

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State