| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 | |
Yoon Kong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4710 Puddledock Rd Ste 100, Prince George, VA 23875 Phone: 804-732-0035 Fax: 804-732-0045 | |
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 |