Edward George Dougherty in Vista - Occupational Therapy Assistant

Edward George Dougherty - NPI 1760650808

Edward George Dougherty is a Occupational Therapy Assistant in Vista, California. Edward George Dougherty practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Edward George Dougherty is 1760650808. The last update date is 2008-02-12.

Edward George Dougherty's current location address is 1579 Wellington Lane, Vista, California. You can contact this provider via phone number 7607174365. The mailing address for Edward George Dougherty is 1579 Wellington Lane, Vista, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward George Dougherty
Address 1579 Wellington Lane, Vista, California
Phone Number 7607174365
Fax Number
Sole Proprietor Y
Credentials COTA

NPI Number Detail

NPI Number 1760650808
Provider Enumeration Date 2008-02-12
Last Updated Date 2008-02-12

Provider Mailing Address Detail

Address 1579 Wellington Lane
City Vista
State California (CA)
Post Code 92081
Phone Number 7607174365
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapy Assistant
Taxonomy 224Z00000X
Licence No OTA1286
Definition:
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed

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FAQs about Edward George Dougherty

What is the unique 10-digit identifier code assigned to Edward George Dougherty by the Centers for Medicare & Medicaid Services?

The Edward George Dougherty has been issued the NPI (National Provider Identifier) 1760650808 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Edward George Dougherty?

The Edward George Dougherty is situated at 1579 Wellington Lane, in the city of Vista, state of CA, with the zip code 92081.

What is the Edward George Dougherty's specialty and taxonomy code?

The Edward George Dougherty's specialty is Occupational Therapy Assistant, and the corresponding taxonomy code is 224Z00000X.

When did the Edward George Dougherty receive its 1760650808?

The Edward George Dougherty was issued its 1760650808 on 2008-02-12, which is the date when the organization was assigned this unique identifier.

When was the Edward George Dougherty's information last updated?

The Edward George Dougherty's information was last updated on 2008-02-12.

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