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Wonderfully Made Pediatric Therapy LLC

Details

Name: Wonderfully Made Pediatric Therapy LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 06 Aug 2023 (a year ago) (Companies founded in August 2023)
Entity Number: 001-092-917
Register Number: 001092917
ZIP code: 35661 (Companies in Colbert, 35661)
County: Colbert
Place of Formation: Alabama
Registered Office Street Address: 528A Kelsey AvenueMuscle Shoals, AL 35661

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033993472 2023-08-24 2023-08-24 528 KELSEY AVE STE A, MUSCLE SHOALS, AL, 356611563, US 528 KELSEY AVE STE A, MUSCLE SHOALS, AL, 356611563, US

Contacts

Phone +1 256-577-2682
Fax 6788064806

Authorized person

Name DENA JOHNSTON GRAHAM
Role OWNER/OCCUPATIONAL THERAPIST
Phone 2565772682

Taxonomy

Taxonomy Code 225XP0200X - Pediatric Occupational Therapist
Is Primary Yes

Agent

Name Role
Graham, Dena J Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State