Provider Demographics
NPI:1730589078
Name:MCLEAN, ZOE (MS OTR/L CSRS)
Entity type:Individual
Prefix:MRS
First Name:ZOE
Middle Name:
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:MS OTR/L CSRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MCKINLEY RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5765
Mailing Address - Country:US
Mailing Address - Phone:973-945-7838
Mailing Address - Fax:
Practice Address - Street 1:170 MCKINLEY RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5765
Practice Address - Country:US
Practice Address - Phone:973-945-7838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2103225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist