MEDICARE: MR. RICHARD LINKONIS DPT, OCS, COMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305202929	VA

General Provider Information

NPI Number	:	1730274192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD LINKONIS DPT, OCS, COMT

Provider Business Mailing Address
First Line	:	1011 HIOAKS RD STE A
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-4040
Country	:	US
Telephone Number	:	804-523-4634
Fax Number	:	804-523-4636

Provider Business Practice Location Address
First Line	:	1011 HIOAKS RD STE A
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-4040
Country	:	US
Telephone Number	:	804-523-4634
Fax Number	:	804-523-4636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	02/21/2012

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