Individual
DR. BRIAN ROBERT HARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3038
Mailing address
207 SAGE LN, MADISON HEIGHTS, VA 24572-6091
(434) 221-5605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305211322
BOARD OF PHYSICAL THERAPY
VA
Enumeration date
03/25/2020
Last updated
03/25/2020
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