Provider Demographics
NPI:1497202568
Name:ZECHA, RICHARD (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:ZECHA
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15521 WOODS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY CENTER
Mailing Address - State:CA
Mailing Address - Zip Code:92082-7313
Mailing Address - Country:US
Mailing Address - Phone:408-705-0677
Mailing Address - Fax:
Practice Address - Street 1:15521 WOODS VALLEY RD
Practice Address - Street 2:
Practice Address - City:VALLEY CENTER
Practice Address - State:CA
Practice Address - Zip Code:92082-7313
Practice Address - Country:US
Practice Address - Phone:408-705-0677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-07
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16503225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation