Individual provider · Type 1 NPI

Mary Domhan, COTA

Contractor · Chesterfield, VA

NPI number 1033418645 Active

Practice location

6800 Lucy Corr Blvd
Chesterfield, VA 23832

Mailing address

2819 Jeffers Dr
North Chesterfield, VA 23235-2439

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X0131001557 (VA)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1033418645

Mary Domhan, COTA's National Provider Identifier is 1033418645, issued on Mar 22, 2011. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Chesterfield, VA. The record was last updated on Mar 20, 2017.