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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MARY DOMHAN, COTA

Active Sole Proprietor

MS. MARY DOMHAN, COTA is a Contractor healthcare provider located in CHESTERFIELD, Virginia. NPI 1033418645 is currently active in the NPPES registry. Verify at CMS.

Contractor · CHESTERFIELD, VA

Registration Details

NPI Number
1033418645
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2011 (15.395402754828 yrs)
Last Updated
Mar 20, 2017
License
0131001557 (VA)
Sole Proprietor
Yes

Practice Information

Address
6800 LUCY CORR BLVD
CHESTERFIELD, VA, 23832
Browse VA providers · Browse ZIP 23832
Phone
8047065648
Primary Specialty
Contractor
171W00000X

Other Contractor Providers in CHESTERFIELD, VA

Name Credential NPI
MR. ARIC ANQUAIN MAYO 1366082331
SHANNON RENEE BLANKENSHIP 1750988192
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.