Provider Demographics
NPI:1700200474
Name:ECHEMENDIA, SACHEEN
Entity Type:Individual
Prefix:
First Name:SACHEEN
Middle Name:
Last Name:ECHEMENDIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15327 NW 60TH AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2429
Mailing Address - Country:US
Mailing Address - Phone:305-549-8876
Mailing Address - Fax:305-549-8877
Practice Address - Street 1:15327 NW 60TH AVE STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2429
Practice Address - Country:US
Practice Address - Phone:305-549-8876
Practice Address - Fax:305-549-8877
Is Sole Proprietor?:No
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8344225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist