Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORNELIUS LICLIC, LPTA
Active Sole ProprietorCORNELIUS LICLIC, LPTA is a Physical Therapy Assistant healthcare provider located in GAINESVILLE, Virginia. NPI 1417686494 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · GAINESVILLE, VA
Registration Details
- NPI Number
- 1417686494
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2022 (4.1855644049319 yrs)
- Last Updated
- Jun 6, 2022
- License
-
2306604819 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7501 HERITAGE VILLAGE PLZGAINESVILLE, VA, 201553078Browse VA providers · Browse ZIP 20155
- Phone
- 2105425623
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in GAINESVILLE, VA
| Name | Credential | NPI |
|---|---|---|
| SARAH G FORD | PT | 1699771899 |
| MRS. ERIN DUNCAN | MSPT | 1881693422 |
| MRS. CATHERINE J GALLAGHER | — | 1477535441 |
| MRS. MARY ESSIG HOSSEINI | — | 1669454641 |
| JODI MARIE REMSEN | PT | 1134191000 |
| LISA H KERRIGAN | PT | 1649235508 |
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.