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Individual

MS. VIRGINIA TAFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR-L

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-047
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010020481
BLUE SHIELD
01
066519
WA L&I
01
185598800
FEDERAL L&I
01
20782
GROUP HEALTH
01
5003984
REGENCE MEDADVANTAGE
01
60259
FIRST CHOICE
01
82-0534955
STERLING
01
820534955
IPN
01
82053495583814A002
TRIWEST/TRICARE
05
907654145
ID
01
DA3588
RAILROAD MEDICARE
01
QMXPR0060660
MOLINA
01
W0640
BLUE CROSS
Enumeration date
11/28/2005
Last updated
06/23/2011
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