Malcolm James Lickers
Physical Therapist - Sports
8191 Staples Mill Rd
Henrico
, Virginia 23228-2751
Malcolm James Lickers
Physical Therapist - Sports
8191 Staples Mill Rd
Henrico
, Virginia 23228-2751
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Malcolm James Lickers
- 3307 Quail Hill Dr
- Midlothian, VA
- Zip : 23112-4431
- Phone :
Second Address
- Malcolm James Lickers
- 8191 Staples Mill Rd
- Henrico, VA
- Zip : 23228-2751
- Phone : (804) 523-2653
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 2305202376 | VA |
National Provider Identifier
| NPI | 1255938098 |
|---|---|
| Provider Name | Malcolm James Lickers |
| First Address | Midlothian, VA 23112-4431 |
| Second Address | Henrico, VA 23228-2751 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2020 |
| Last Update Date | 05/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.