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Search › Virginia › 225100000X

Cornelius Liclic, LPTA

NPI 1417686494 · on the registry since 2022 · sole proprietor

Practice

Address
7501 Heritage Village Plz
Gainesville, VA 20155
Phone
(210) 542-5623
Organisation at this address
Heritage Hunt Llc
Genesis Health And Rehab Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia