Individual
ANDREW VAN HAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT, LAT, ATC
Contact information
Practice address
44 CLIFTON ST, LYNCHBURG, VA 24501-1422
(240) 464-8725
Mailing address
207 CHELSEA DR, FOREST, VA 24551-3019
(240) 464-8725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305215061
VA
2255A2300X
Athletic Trainer
0126003255
VA
Other
Enumeration date
03/20/2018
Last updated
07/14/2025
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