Individual
MR. KEVIN LINDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
3913 OLD LEE HWY, SUITE 31C, FAIRFAX, VA 22030-2433
(703) 877-2224
(703) 277-1962
Mailing address
10114 RATCLIFFE MANOR DR, FAIRFAX, VA 22030-2427
(703) 383-7742
(703) 277-1962
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305006734
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192764
ANTHEM
VA
01
—
7460488
AETNA
VA
01
—
J2990001
CARE FIRST
VA
Enumeration date
07/25/2006
Last updated
07/08/2007
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