Provider Demographics
NPI:1396983615
Name:CROMBIE, PHILIP P (DPT)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:P
Last Name:CROMBIE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14529 INDIGO LAKES CIR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-4811
Mailing Address - Country:US
Mailing Address - Phone:239-304-7576
Mailing Address - Fax:
Practice Address - Street 1:4023 KENT CT
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-7310
Practice Address - Country:US
Practice Address - Phone:239-304-7576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11581225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist