Provider Demographics
NPI:1952368847
Name:ZECCHETTO, MARIA MONTERO (OTR/L, CHT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:MONTERO
Last Name:ZECCHETTO
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5641
Mailing Address - Country:US
Mailing Address - Phone:310-829-3320
Mailing Address - Fax:310-829-3305
Practice Address - Street 1:2001 WILSHIRE BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5641
Practice Address - Country:US
Practice Address - Phone:310-829-3320
Practice Address - Fax:310-829-3305
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2651225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW18100Medicare ID - Type UnspecifiedGROUP #
CA3968690001Medicare UPIN
CAWOT2651AMedicare ID - Type UnspecifiedPROVIDER ID #