Search › California › 224Z00000X
Edward Dougherty, COTA
NPI 1760650808 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1579 Wellington Lane
51
Vista, CA 92081 - Phone
- (760) 717-4365
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California