Mary Domhan, COTA

NPI 1033418645 · on the registry since 2011 · sole proprietor

Practice

Address: 6800 Lucy Corr Blvd
Chesterfield, VA 23832
Phone: (804) 706-5648
Organisation at this address: Lucy Corr Foundation, Inc.
Chesterfield County Health Center Commission
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Contractor
171W00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia