Dr Edward Duval Koonce Jr, DPT | |
100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | |
(910) 450-4750 | |
Not Available |
Full Name | Dr Edward Duval Koonce Jr |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265871982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9674 (Tennessee) | Primary |
Provider Name | Dynamix Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669619268 PECOS PAC ID: 5193873933 Enrollment ID: O20090504000677 |
Mailing Address | Practice Location Address |
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Dr Edward Duval Koonce Jr, DPT 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 Ph: (910) 450-4750 | Dr Edward Duval Koonce Jr, DPT 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 Ph: (910) 450-4750 |
Mrs. Holly F Carter, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-449-2538 Fax: 910-450-3406 | |
Mr. George J Walter Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd., Naval Hospital, Attn Medical Staff Services, Camp Lejeune, NC 28547 Phone: 910-450-4136 Fax: 910-450-4558 | |
Kristina Ann Torres, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-3619 | |
Laura Riebel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4750 | |
Mrs. Clara V Stevens, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4300 | |
Rebecca Root, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-9770 | |
Kenneth Wee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 |