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Andalusia Therapy Group, LLC

Details

Name: Andalusia Therapy Group, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Apr 2024 (8 months ago) (Companies founded in April 2024)
Entity Number: 001-129-730
Register Number: 001129730
ZIP code: 36420 (Companies in Covington, 36420)
County: Covington
Place of Formation: Alabama
Registered Office Street Address: 501 Sanford RoadAndalusia, AL 36420

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891542833 2024-05-06 2024-07-07 224 S THREE NOTCH ST, ANDALUSIA, AL, 364203710, US 224 S THREE NOTCH ST, ANDALUSIA, AL, 364203710, US

Contacts

Phone +1 606-344-7997

Authorized person

Name KIRBY SOLES SEWELL
Role OWNER
Phone 6063447997

Taxonomy

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

Agent

Name Role
Sewell, Kirby Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State