Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALCOLM JAMES LICKERS
ActiveMALCOLM JAMES LICKERS is a Environmental Modification (OT) healthcare provider located in HENRICO, Virginia. NPI 1255938098 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · HENRICO, VA
Registration Details
- NPI Number
- 1255938098
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2020 (5.8738755100065 yrs)
- Last Updated
- Oct 5, 2020
- License
-
2305202376 (VA)
Practice Information
- Address
-
8191 STAPLES MILL RDHENRICO, VA, 232282751Browse VA providers · Browse ZIP 23228
- Phone
- 8045232653
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.