Individual
EVELYN ANN KOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4710 PUDDLEDOCK RD STE 100, PRINCE GEORGE, VA 23875-1269
(804) 732-0095
(804) 732-0045
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216375
VA
Other
Enumeration date
05/08/2024
Last updated
05/10/2024
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