Individual
JOHN SCALICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2106 EXECUTIVE DR, HAMPTON, VA 23666-2402
(757) 838-6678
(757) 838-8116
Mailing address
PO BOX 69030, BALTIMORE, MD 21264-9030
(757) 873-2306
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0090391
NY
225100000X
Physical Therapist
Primary
2305204675
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010344352
—
VA
01
—
192971
BCBS PHY THERAPY
VA
01
—
7500685
AETNA
VA
01
—
P00395282
RAILROAD MEDICARE
VA
Enumeration date
06/29/2006
Last updated
05/03/2018
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