Healthcare Provider Details

I. General information

NPI: 1972059327
Provider Name (Legal Business Name): CARRIE ECHOLS OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARRIE SNYDER

II. Dates (important events)

Enumeration Date: 08/26/2016
Last Update Date: 02/05/2026
Certification Date: 02/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1181 BLACKWOOD AVE
OCOEE FL
34761-4518
US

IV. Provider business mailing address

1181 BLACKWOOD AVE
OCOEE FL
34761-4518
US

V. Phone/Fax

Practice location:
  • Phone: 407-292-0073
  • Fax: 407-292-9666
Mailing address:
  • Phone: 407-292-0073
  • Fax: 407-292-9666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number31006167A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT19386
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number056011201
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: