# CDA HAND THERAPY & HEALING CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710960463
- **Authorized official:** MS. VIRGINIA TAFT (OWNER/PRESIDENT)
- **Authorized official phone:** (208) 664-2901

## Contact information

- **Practice address:** 2448 MERRITT CREEK LOOP, SUITE 2A, COEUR D ALENE, ID 83814-4953
- **Practice address phone:** (208) 664-2901
- **Practice address fax:** (208) 667-9266
- **Mailing address:** 2448 MERRITT CREEK LOOP, SUITE 2A, COEUR D ALENE, ID 83814-4953
- **Mailing address phone:** (208) 664-2901
- **Mailing address fax:** (208) 667-9266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2005
- **Last updated:** 06/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010026877 | REGENCE | — |
| 01 | — | 0063788 | WA L&I | — |
| 01 | — | 100000120993 | REGENCE | — |
| 01 | — | 185598800 | FEDERAL L&I | — |
| 01 | — | 5003984 | REGENCE MED ADVANTAGE | — |
| 01 | — | DA3588 | RAILROAD MEDICARE | — |
| 05 | — | M0026441 171096043 | — | ID |
| 01 | — | QMXPR0060660 | MOLINA | — |
| 01 | — | T9784 | BLUE CROSS OF IDAHO | ID |
| 01 | — | TID 91051 NPI | GROUP HEALTH | — |
| 01 | — | TID NPI SSN | FIRST CHOICE | — |