Autumn B Deda
Autumn B Deda is an Occupational Therapist in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
500 W Aqua AveCoeur D Alene, ID 83815-7764
Phone: (208) 762-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT-868 (ID) |
|---|
Record details
| NPI number | 1154598027 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 9, 2008 |
| Last updated in NPPES | May 9, 2008 |
| Mailing address | 1937 W Hampson Ave, Coeur D Alene, ID 83815-0407 |
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