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Individual

ANDREW LANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1849 OLD DONATION PKWY, VIRGINIA BEACH, VA 23454-3004
(757) 422-8476
(757) 213-4332
Mailing address
1115 BOULDERS PKWY STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305208243
VA
2251S0007X
Sports Physical Therapist
2305208243
VA
2251X0800X
Orthopedic Physical Therapist
2305208243
VA

Other

Enumeration date
08/14/2013
Last updated
01/01/2019
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