Domenique Mcmahan, COTAL
NPI #1801400734 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1801400734
- Entity Type
- Individual
- Name
- Domenique Mcmahan, COTAL
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTAL
- Enumeration Date
- Sep 8, 2020
- Last Updated
- Sep 11, 2020
Practice Location
- Address
- 3012 HOLBEN CT
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48360-1671
- Phone
- (586) 854-9874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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