Individual
CATHY L. DORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13101 HARTFIELD AVENUE, SAN DIEGO, CA 92130
(858) 259-2222
Mailing address
13101 HARTFIELD AVE, SAN DIEGO, CA 92130-1511
(858) 259-2222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1062414
NBCOT
CA
Enumeration date
08/09/2007
Last updated
08/09/2007
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