NPI | 1861656035 |
---|---|
Doing Business As | TRIBE PEDIATRIC REHABILITATION, PLLC |
Entity Type | Organization |
Authorized Contact | LORI M ALLEN Owner 904-465-0178 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5457) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT 19154) |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2008-07-16 |
Last Update Date | 2024-10-18 |