Domonique Gholson, MS OTR/L

NPI #1104528835 in Ashland, Virginia

Provider Information

NPI Number: 1104528835
Entity Type: Individual
Name: Domonique Gholson, MS OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MS OTR/L
Enumeration Date: Mar 20, 2023
Last Updated: Aug 11, 2024

Practice Location

Address: 100 ENGLAND ST
City: Ashland
State: Virginia
ZIP Code: 23005-2013
Phone: (804) 368-8475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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