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Malcolm James Lickers
Sports Physical Therapist in Henrico, Virginia
NPI 1255938098

Malcolm James Lickers is a Sports Physical Therapist based in Midlothian, VA and is specialized in Sports. Malcolm James Lickers practices in Henrico, VA. The NPI Number for Malcolm James Lickers is 1255938098 and holds a License No. 2305202376 (Virginia).

The current practice location address for Malcolm James Lickers is 8191 Staples Mill Rd, Henrico, VA and can be reached out via phone at 804-523-2653.

Location: 8191 Staples Mill Rd, Henrico, VA, 23112-4431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255938098
Provider Name
Malcolm James Lickers
Credential
Provider Entity Type
Individual
Gender
Male
Address
8191 Staples Mill Rd, Henrico, VA, 23112-4431
Phone Number
804-523-2653
Fax Number
Provider Enumeration Date
10/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8191 Staples Mill Rd
City
Henrico
State
Virginia
Zip
23228-2751
Phone Number
804-523-2653
Fax Number
person
Provider Business Mailing Address Details
Address
8191 Staples Mill Rd
City
Henrico
State
Virginia
Zip
23228-2751
Phone Number
804-523-2653
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
2305202376 (Virginia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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