AUTUMN B DEDA

COEUR D ALENE, ID
NPI1154598027
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-868)
Enumeration Date2008-05-09
Last Update Date2008-05-09
Business Address
-- AUTUMN B DEDA
500 W AQUA AVE
COEUR D ALENE, ID 83815-7764
Phone number: 208-762-1122
Mailing Address
-- AUTUMN B DEDA
1937 W HAMPSON AVE
COEUR D ALENE, ID 83815-0407
Phone number: 509-220-7338
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