Provider Demographics
NPI:1073696894
Name:ALLEN THERAPIES INC
Entity Type:Organization
Organization Name:ALLEN THERAPIES INC
Other - Org Name:NAVASOTA PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBYANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-870-3475
Mailing Address - Street 1:1905 DOVE CROSSING LN
Mailing Address - Street 2:STE A & B
Mailing Address - City:NAVASOTA
Mailing Address - State:TX
Mailing Address - Zip Code:77868-5272
Mailing Address - Country:US
Mailing Address - Phone:936-870-3475
Mailing Address - Fax:888-375-3159
Practice Address - Street 1:1905 DOVE CROSSING LN
Practice Address - Street 2:STE A & B
Practice Address - City:NAVASOTA
Practice Address - State:TX
Practice Address - Zip Code:77868-5272
Practice Address - Country:US
Practice Address - Phone:936-870-3475
Practice Address - Fax:888-375-3159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX650190000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0063JBOtherBLUECROSS BLUESHIELD
TXDC8068OtherPALMETTO
TXDC8068OtherPALMETTO