Provider Demographics
NPI:1689415382
Name:SCHEMBRE, PHOEBE ARLENE (DPT)
Entity type:Individual
Prefix:
First Name:PHOEBE
Middle Name:ARLENE
Last Name:SCHEMBRE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:PHOEBE
Other - Middle Name:
Other - Last Name:GOFFENEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 BLUE SPRUCE FARM RD APT 30
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-3938
Mailing Address - Country:US
Mailing Address - Phone:317-753-2813
Mailing Address - Fax:
Practice Address - Street 1:1601 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-2102
Practice Address - Country:US
Practice Address - Phone:207-774-5710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT6826225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist