IndividualActive
Autumn Deda
NPI 1154598027 · Occupational Therapist · Coeur D Alene, ID
Provider details
- NPI number
- 1154598027
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- OT-868 (ID)
Mailing address
1937 W Hampson Ave
Coeur D Alene, ID 83815-0407
Registry dates
- Enumerated
- 2008-05-09
- Last updated
- 2008-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.