MEDICARE: JANINE MARIE SISKO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OC014207	PA

General Provider Information

NPI Number	:	1487261020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANINE MARIE SISKO

Provider Business Mailing Address
First Line	:	101PARKRIDGE LANE
Second Line	:
City	:	CORAOPOLIS
State	:	PA
Zip	:	15108
Country	:	US
Telephone Number	:	724-859-3536
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 MEDICAL CENTER RD
Second Line	:
City	:	CHICORA
State	:	PA
Zip	:	16025-2612
Country	:	US
Telephone Number	:	724-445-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2020
Last Update Date	:	09/28/2020

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Directions to “ JANINE MARIE SISKO ” Practice Location

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