Individual
MR. JASON R LINDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1145 LYONS RD # D, DAYTON, OH 45458-1875
(937) 434-0509
(937) 434-1825
Mailing address
1145 D. LYONS RD., CENTERVILLE, OH 45459
(937) 434-0509
(937) 434-1825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-008779
—
225100000X
Physical Therapist
PT8779
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008368
ANTHEM
OH
05
—
0542283
—
OH
01
—
125384133
TRICARE
OH
01
—
31097986600
BWC
OH
01
—
310979866026
CARESOURCE
OH
01
—
365572300
TRICARE
HI
01
—
365572300
US DEPT LABOR
OH
Enumeration date
09/21/2006
Last updated
11/12/2014
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