All Medicaid billing entities listing DOMINGUEZ, MARYANN (PRACTICE ADMINISTRATOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Virginia | 1 | $4K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | VIRGINIA CENTER FOR SPINE & SPORTS THERAPY LLC | MIDLOTHIAN, VA | Orthopedic Physical Therapist | $4K |