Individual
ANDREW HAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2401 W LEIGH ST, RICHMOND, VA 23220-1328
(804) 325-8812
Mailing address
2401 W LEIGH ST, RICHMOND, VA 23220-1328
(804) 325-8812
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2305212052
VA
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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