Autumn B Deda, - Occupational Therapist in Coeur D Alene, ID

Autumn B Deda, is a Occupational Therapist based in Coeur D Alene, Idaho. Autumn B Deda is licensed to practice in Idaho (license number OT-868) and her current practice location is 500 W Aqua Ave, Coeur D Alene, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 762-1122.

NPI number for Autumn B Deda is 1154598027 and her current mailing address is 1937 W Hampson Ave, Coeur D Alene, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154598027.

Contact Information

Autumn B Deda,
500 W Aqua Ave,
Coeur D Alene, ID 83815-7764
(208) 762-1122
Not Available



Healthcare Provider's Profile

Full NameAutumn B Deda
GenderFemale
SpecialityOccupational Therapist
Location500 W Aqua Ave, Coeur D Alene, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154598027
  • Provider Enumeration Date: 05/09/2008
  • Last Update Date: 05/09/2008

Medical Identifiers

Medical identifiers for Autumn B Deda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154598027NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT-868 (Idaho)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Autumn B Deda is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Autumn B Deda,
1937 W Hampson Ave,
Coeur D Alene, ID 83815-0407

Ph: (509) 220-7338
Autumn B Deda,
500 W Aqua Ave,
Coeur D Alene, ID 83815-7764

Ph: (208) 762-1122

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› Verified 9 days ago


Occupational Therapist in Coeur D Alene, ID

Lanmana Parys-wolodkewitsch,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815
Phone: 208-664-2468    
Mr. Christy Sater Adams, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Ironwood Pl, Coeur D Alene, ID 83814
Phone: 208-667-6486    
Jorge Luis Santiago, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814
Phone: 208-966-4476    
Megan Marney, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815
Phone: 208-664-2468    
Clarence Andrew Sims, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1917 N Lakewood Dr, Coeur D Alene, ID 83814
Phone: 208-664-8194    Fax: 208-667-1847
Laura Popp,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 210 W Lacrosse Ave, Coeur D Alene, ID 83814
Phone: 208-664-2185    

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