Individual
MADISON SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
43 YAWPO AVE STE 10, OAKLAND, NJ 07436-2717
(201) 337-3307
(201) 337-2489
Mailing address
43 YAWPO AVE STE 10, OAKLAND, NJ 07436-2717
(201) 337-3307
(201) 337-2489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00987400
NJ
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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