Malcolm James Lickers, | |
8191 Staples Mill Rd, Henrico, VA 23228-2751 | |
(804) 523-2653 | |
Not Available |
Full Name | Malcolm James Lickers |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 8191 Staples Mill Rd, Henrico, Virginia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255938098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | 2305202376 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lawrence Rehabilitation Specialists Inc | 8628172269 | 7 |
Provider Name | Lawrence Rehabilitation Specialists Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1558444513 PECOS PAC ID: 8628172269 Enrollment ID: O20070409000412 |
Mailing Address | Practice Location Address |
---|---|
Malcolm James Lickers, 3307 Quail Hill Dr, Midlothian, VA 23112-4431 Ph: () - | Malcolm James Lickers, 8191 Staples Mill Rd, Henrico, VA 23228-2751 Ph: (804) 523-2653 |
Russel Wayne Underwood, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1523 Split Oak Ln Apt H, Henrico, VA 23229 Phone: 804-288-2052 | |
Nicole Marie Anderson, PT, DPT, NCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 8191 Staples Mill Rd, Henrico, VA 23228 Phone: 804-523-2653 | |
Bestinjohn Kanjiracal Jacob, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2620a Gaskins Rd, Henrico, VA 23238 Phone: 804-396-6753 Fax: 888-815-8184 | |
Kyle Ethan Shope, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3001 Hungary Spring Rd Ste D, Henrico, VA 23228 Phone: 804-756-8490 | |
Bhargavi Nitant Patel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2620a Gaskins Rd, Henrico, VA 23238 Phone: 804-396-6753 | |
Mrs. Neepaben C Patel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2620 A Gaskins Rd, Henrico, VA 23238 Phone: 804-396-6753 | |
Dr. Emily Wright Wolfram, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8115 Staples Mill Rd, Henrico, VA 23228 Phone: 804-655-6327 |