National Provider Identifier Database

MARY DOMHAN, COTA – NPI #1033418645
Contractor

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 relation to a provider's employment status.


Contact Information

MARY DOMHAN, COTA
6800 LUCY CORR BLVD
CHESTERFIELD, VA23832
Phone: 804-706-5648
Fax:
Website:
Specialty Taxonomy Code
* Contractor 171W00000X

* Indicates primary specialty

NPI Profile & details for MARY DOMHAN

NPI Number 1033418645
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 03/22/2011
Last updated 03/20/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • VA License #: 0131001557
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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