Provider Demographics
NPI:1114173671
Name:ZECCHIN, AMANDA (MS, OTR/L)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:
Last Name:ZECCHIN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-4748
Mailing Address - Country:US
Mailing Address - Phone:203-554-0260
Mailing Address - Fax:
Practice Address - Street 1:62 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-4748
Practice Address - Country:US
Practice Address - Phone:203-554-0260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015079-1225X00000X
CT003653225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist