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NPI Code Detail

MEDICARE: SUSAN E. LINDAMAN D.P.T.

MEDICARE:   SUSAN E. LINDAMAN  D.P.T.
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
1225100000XPhysical Therapist00897MO

General Provider Information

NPI Number : 1518365071
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN E. LINDAMAN D.P.T.
Provider Business Mailing Address
First Line : 4000 S MAPLE BLUFF DR.
Second Line :
City : COLUMBIA
State : MO
Zip : 65203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4000 S MAPLE BLUFF DR.
Second Line :
City : COLUMBIA
State : MO
Zip : 65203
Country : US
Telephone Number : 573-881-0330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2014
Last Update Date : 12/16/2014

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Directions to “ SUSAN E. LINDAMAN D.P.T.” Practice Location

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