| Doctor Name: | MRS. CARLINE FOMBY |
| NPI Number: | 1225499049 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT/DPT |
| License Number: | 070-011484 |
| Business Practice Address: | 4560 Se International Way Ste 100 Milwaukie, OR - 972224628 |
| Business Phone Number: | 9712062314 |
| Business Fax Number: | |
| Mailing Address: | 27w011 Lindsey Ave, WINFIELD |
| State: | IL |
| Postal Code: | 601902113 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2016 |
| NPI Last Update Date: | 03/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070-011484 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |