Individual
THERESA DOMHAN-ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 CEDARFIELD PKWY., HERMITAGE AT CEDARFIELD/ GENESIS REHAB, RICHMOND, VA 23233
(804) 474-8800
Mailing address
2819 JEFFERS DR, NORTH CHESTERFIELD, VA 23235-2439
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000593
VA
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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