Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Domenique McMahan, COTAL

Individual provider Occupational Therapy Assistant · NPI 1801400734

Domenique McMahan, COTAL is an Occupational Therapy Assistant in Lake Orion, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3012 Holben Ct
Lake Orion, MI 48360-1671
Phone: (586) 854-9874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5202008445 (MI)
Occupational Therapy Assistant Taxonomy 224Z00000X

Record details

NPI number1801400734
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTAL
Sole proprietorYes
NPI enumeratedSeptember 8, 2020
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020

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