Provider Demographics
NPI:1649995648
Name:ZECHMAN, KYRSTYN-LEE (COTA/L)
Entity type:Individual
Prefix:
First Name:KYRSTYN-LEE
Middle Name:
Last Name:ZECHMAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:KYRSTYN-LEE
Other - Middle Name:
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:432 SPRUCE ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:ROLLINSFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03869-5634
Mailing Address - Country:US
Mailing Address - Phone:570-912-8947
Mailing Address - Fax:
Practice Address - Street 1:22 TUCK RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-1225
Practice Address - Country:US
Practice Address - Phone:570-912-8947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0885224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant