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Long Beach Physical Therapy LLC

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Company Details

Name: Long Beach Physical Therapy LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 19 Mar 2004 (21 years ago)
Business ID: 852746
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Bozlee, Elizabeth Z. Agent 5132 Beatline Road, Suite D, Long Beach, MS 39560-3815

Member

Name Role Address
Legalzoom.com, Inc. Member 7083 Hollywood Blvd, Suite 180, Los Angeles, CA 90028

National Provider Identifier

NPI Number:
1275621369

Authorized Person:

Name:
MRS. ELIZABETH Z BOZLEE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2288678810

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Amendment Form Filed 2004-08-31 Amendment
Formation Form Filed 2004-03-16 Formation

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Date of last update: 01 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website