MEDICARE: E. C. H. P. OCCUPATIONAL THERAPY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant
2	225X00000X	Occupational Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194257949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E. C. H. P. OCCUPATIONAL THERAPY SERVICES

Provider Business Mailing Address
First Line	:	2027 FLORIDA SOAPBERRY BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-7343
Country	:	US
Telephone Number	:	407-625-4532
Fax Number	:

Provider Business Practice Location Address
First Line	:	2027 FLORIDA SOAPBERRY BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-7343
Country	:	US
Telephone Number	:	407-625-4532
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SAMARRA ST HILAIRE
Credential	:	OTR/L
Telephone Number	:	407-625-4532

Provider Enumeration Date	:	03/31/2017
Last Update Date	:	03/31/2017

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