Domhan, Mary

Domhan, Mary is an sole proprietor health care provider with primary practice located at 6800 Lucy Corr Blvd , Chesterfield VA 23832. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Domhan, Mary can be contacted via phone (804) 706-5648.

Contact Information

Primary practice address
6800 Lucy Corr Blvd Chesterfield VA 23832
Phone: (804) 706-5648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 0131001557 Virginia

Profile Details

NPI number 1033418645
LBN Legal business name Domhan, Mary
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2011
Last updated Mar 20th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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