MS. Mary Domhan, COTA
NPI #1033418645 in Chesterfield, Virginia
Provider Information
- NPI Number
- 1033418645
- Entity Type
- Individual
- Name
- MS. Mary Domhan, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Credential
- COTA
- Enumeration Date
- Mar 22, 2011
- Last Updated
- Mar 20, 2017
Practice Location
- Address
- 6800 LUCY CORR BLVD
- City
- Chesterfield
- State
- Virginia
- ZIP Code
- 23832
- Phone
- (804) 706-5648
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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