Organization
ALLEN THERAPY SERVICES, PLLC
Active
Other names
Tribe Pediatric Rehabilitation, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
LORI M ALLEN SLP (OWNER)
(904) 465-0178
Entity
Organization
Contact information
Practice address
2103 GILMORE ST, JACKSONVILLE, FL 32204-3211
(904) 465-0178
(904) 770-5596
Mailing address
660 SPANISH WELLS RD, JACKSONVILLE, FL 32218-8926
(904) 465-0178
(904) 770-5596
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
5457
FL
252Y00000X
Early Intervention Provider Agency
Primary
EXEMPT
FL
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000468800
—
FL
05
—
000712000
—
FL
Enumeration date
03/17/2009
Last updated
10/06/2025
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