Healthcare Provider Details

I. General information

NPI: 1821908138
Provider Name (Legal Business Name): EVELYN CAMILLE LINDEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 37TH AVE SW
MINOT ND
58701-7669
US

IV. Provider business mailing address

4886 OCCOQUAN CLUB DR
WOODBRIDGE VA
22192-5906
US

V. Phone/Fax

Practice location:
  • Phone: 701-418-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305217916
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: