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PhysioBaby Physical Therapy & Wellness, LLC

Details

Name: PhysioBaby Physical Therapy & Wellness, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 21 Oct 2019 (5 years ago)
Entity Number: 000-960-193
Register Number: 000960193
ZIP code: 36303
County: Houston
Place of Formation: Texas
Principal Address: 212 W. Troy Street, Suite BTroy, AL 36303
Principal Mailing Address: 4830 Wilson Rd STE 300, PMB 224Humble, TX 77396

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336845239 2023-02-01 2023-02-01 201 CAHABA PARK CIR STE 400, BIRMINGHAM, AL, 352428130, US 201 CAHABA PARK CIR STE 400, BIRMINGHAM, AL, 352428130, US

Contacts

Phone +1 205-634-2115
Fax 8324122983

Authorized person

Name DR. CATHERINE M DOUGHERTY
Role OWNER
Phone 2056342115

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes
Taxonomy Code 2251P0200X - Pediatric Physical Therapist
Is Primary No
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No
Taxonomy Code 225XF0002X - Feeding, Eating & Swallowing Occupational Therapist
Is Primary No
Taxonomy Code 225XP0200X - Pediatric Occupational Therapist
Is Primary No

Agent

Name Role Address
Registered Agents Inc Agent 212 W. Troy St. STE BDothan, AL 36303

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State