Kristen Jane Papoulakos | Fredericksburg, VA • PECOS Search

Kristen Jane Papoulakos

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

10530 Spotsylvania Ave # 102, Fredericksburg, VA 22408-2693

(540) 891-4485 (804) 305-5804

PECOS Enrollment

Based on the most recent information from CMS, provider Kristen Jane Papoulakos does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1841702859
Provider Type
Individual
Full Name
Papoulakos, Kristen Jane
Credential
DPT

Gender
Female
Sole Proprietor
No
Enumeration Date
10/31/2017
Last Updated
10/31/2017

Contact Information

Practice Location

10530 Spotsylvania Ave # 102, Fredericksburg, VA 22408-2693

Unlisted Fax

Mailing Location

12483 Elmont Rd, Ashland, VA 23005-7607

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 2305211486 Virginia