Evelyn Ann Koon, DPT | |
4710 Puddledock Rd Ste 100, Prince George, VA 23875-1269 | |
(804) 732-0095 | |
(804) 732-0045 |
Full Name | Evelyn Ann Koon |
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Gender | Female |
Speciality | Physical Therapist |
Location | 4710 Puddledock Rd Ste 100, Prince George, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144078734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305216375 (Virginia) | Primary |
Provider Name | Orthovirginia Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
Mailing Address | Practice Location Address |
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Evelyn Ann Koon, DPT Po Box 715868, Philadelphia, PA 19171-5868 Ph: (804) 915-1910 | Evelyn Ann Koon, DPT 4710 Puddledock Rd Ste 100, Prince George, VA 23875-1269 Ph: (804) 732-0095 |
Shannon Schilstra, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-732-0095 | |
Mr. Robert Alexander Lehner, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd, Suite 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-732-0045 | |
Susan M. Powroznik, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-287-2786 | |
Mr. Seamus Dylan Lynch, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-285-2645 | |
Lauren Jones, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4710 Puddledock Rd, Suite 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-732-0045 | |
Morgan Lynn Massarelli, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-732-0055 |