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

DOMENIQUE MCMAHAN, COTAL

Active Sole Proprietor

DOMENIQUE MCMAHAN, COTAL is a Occupational Therapy Assistant healthcare provider located in LAKE ORION, Michigan. NPI 1801400734 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · LAKE ORION, MI

Registration Details

NPI Number
1801400734
Provider Type
Individual
Gender
Female
NPI Issued
Sep 8, 2020 (5.9438454349916 yrs)
Last Updated
Sep 11, 2020
License
5202008445 (MI)
Sole Proprietor
Yes

Practice Information

Address
3012 HOLBEN CT
LAKE ORION, MI, 483601671
Browse MI providers · Browse ZIP 48360
Phone
5868549874
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in LAKE ORION, MI

Name Credential NPI
LEISA BOWLER 1487077830
SHERI ROMEYN COTA/L 1831854819
LEANDREA EMILY GRAHAM-BOYER 1033813985
LINDSEY MARIE MCLEAN COTA/L 1073218848
KELLY LING GRAHAM 1215828785
AMANDA STINSON COTAL 1033072608
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.