Provider Demographics
NPI:1194257949
Name:E. C. H. P. OCCUPATIONAL THERAPY SERVICES
Entity type:Organization
Organization Name:E. C. H. P. OCCUPATIONAL THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAMARRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ST HILAIRE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:407-625-4532
Mailing Address - Street 1:2027 FLORIDA SOAPBERRY BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7343
Mailing Address - Country:US
Mailing Address - Phone:407-625-4532
Mailing Address - Fax:
Practice Address - Street 1:2027 FLORIDA SOAPBERRY BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7343
Practice Address - Country:US
Practice Address - Phone:407-625-4532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty