Healthcare Provider Details

I. General information

NPI: 1982599924
Provider Name (Legal Business Name): CHLOE ANNE LINDEMUTH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MASONIC DR
ELIZABETHTOWN PA
17022-2199
US

IV. Provider business mailing address

207 LANDING CIR
MOUNTVILLE PA
17554-1890
US

V. Phone/Fax

Practice location:
  • Phone: 717-367-1121
  • Fax:
Mailing address:
  • Phone: 717-945-9376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOP010482
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: