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EW Motion Therapy Tuscaloosa, LLC

Details

Name: EW Motion Therapy Tuscaloosa, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Apr 2015 (10 years ago)
Entity Number: 000-334-607
Register Number: 000334607
ZIP code: 35209
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 3125 INDEPENDENCE DRIVE SUITE 300BBIRMINGHAM, AL 35209

Activities NOT PROVIDED

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295112415 2015-04-27 2021-03-08 4 OFFICE PARK CIR STE 217, MOUNTAIN BRK, AL, 352232674, US 401 22ND AVE STE B, TUSCALOOSA, AL, 354011019, US

Contacts

Phone +1 205-263-2770
Fax 2052630994
Phone +1 205-462-3097
Fax 2057649550

Authorized person

Name RACHEL 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

Organizer

Name Role Address
PAK, DOROTHY D Organizer 1819 FIFTH AVE NBIRMINGHAM, AL 35203

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State