ADRIAN MALLICOTT

WILLIAMSBURG, VA
NPI1518282094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306602797)
Enumeration Date2010-03-29
Last Update Date2010-03-29
Business Address
Mr. ADRIAN MALLICOTT LPTA
5500 WILLIAMSBURG LANDING DR
WILLIAMSBURG, VA 23185
Phone number: 757-258-2178
Mailing Address
Mr. ADRIAN MALLICOTT LPTA
1641 BIG BETHEL RD
HAMPTON, VA 23666-1412
Phone number: