Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edward George Dougherty, COTA

Individual provider Occupational Therapy Assistant · NPI 1760650808

Edward George Dougherty, COTA is an Occupational Therapy Assistant in Vista, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

1579 Wellington Lane 51
Vista, CA 92081
Phone: (760) 717-4365
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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 OTA1286 (CA)

Record details

NPI number1760650808
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedFebruary 12, 2008
Last updated in NPPESFebruary 12, 2008

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