Individual provider · Type 1 NPI

Edward George Dougherty, COTA

Occupational Therapy Assistant · Vista, CA

NPI number 1760650808 Active

Practice location

1579 Wellington Lane, 51
Vista, CA 92081

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA1286 (CA)

Occupational Therapy Assistant: 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 a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1760650808

Edward George Dougherty, COTA's National Provider Identifier is 1760650808, issued on Feb 12, 2008. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Vista, CA. The record was last updated on Feb 12, 2008.