Provider Demographics
NPI:1558709139
Name:COMBRIE, SABINE SIMONE (PT)
Entity Type:Individual
Prefix:MRS
First Name:SABINE
Middle Name:SIMONE
Last Name:COMBRIE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10635 SANTA MONICA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-8300
Mailing Address - Country:US
Mailing Address - Phone:310-481-0644
Mailing Address - Fax:310-474-4034
Practice Address - Street 1:10635 SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-8300
Practice Address - Country:US
Practice Address - Phone:310-481-0644
Practice Address - Fax:310-474-4034
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT40097225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist