Provider Demographics
NPI:1902860711
Name:ECHAVARRIA, TE SHONDRA NATALYA (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:TE SHONDRA
Middle Name:NATALYA
Last Name:ECHAVARRIA
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 MULBERRYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-5823
Mailing Address - Country:US
Mailing Address - Phone:407-297-6375
Mailing Address - Fax:407-297-6375
Practice Address - Street 1:2500 W TAFT VINELAND RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7818
Practice Address - Country:US
Practice Address - Phone:407-816-5600
Practice Address - Fax:407-816-5616
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL 14692255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer