| NPI | 1669613832 |
|---|---|
| Doing Business As | TRIBE PEDIATRIC REHABILITATION, PLLC |
| Entity Type | Organization |
| Authorized Contact | LORI M ALLEN Owner 904-465-0178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: FL Exempt) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 5457) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2024-10-18 |