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NPI Code Detail

MEDICARE: DR. CASSIE ANISE COLTHURST OTD, OTR/L

MEDICARE: DR. CASSIE ANISE COLTHURST OTD, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist26424CA

General Provider Information

NPI Number : 1003655929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CASSIE ANISE COLTHURST OTD, OTR/L
Provider Business Mailing Address
First Line : 306N W EL NORTE PKWY # 91
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-1925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 306N W EL NORTE PKWY # 91
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-1925
Country : US
Telephone Number : --
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2024
Last Update Date : 03/13/2026

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