Provider Demographics
NPI:1225627870
Name:RYCHCIK, MCKENZIE LEANN (COTA/L)
Entity Type:Individual
Prefix:
First Name:MCKENZIE
Middle Name:LEANN
Last Name:RYCHCIK
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14851 PORTERFIELD DR APT 7
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:VA
Mailing Address - Zip Code:22960-1261
Mailing Address - Country:US
Mailing Address - Phone:540-222-0644
Mailing Address - Fax:
Practice Address - Street 1:14115 LOVERS LN
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-4157
Practice Address - Country:US
Practice Address - Phone:540-225-1150
Practice Address - Fax:540-595-3482
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0131-002439224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant