Individual
KATE E SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003444
WA
225XH1200X
Hand Occupational Therapist
OT00003444
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214998
DEPT. OF LABOR & INDUSTRY
WA
01
—
2179HA
REGENCE BLUE SHIELD
WA
01
—
4169HA
REGENCE BLUE SHIELD
WA
01
—
6840KI
REGENCE
WA
01
—
6910HA
REGENCE BLUE SHIELD
WA
01
—
710883456-98502-A003
TRICARE
WA
01
—
710883456-98503-A006
TRICARE
WA
01
—
710883456-98512-A004
TRICARE
WA
01
—
7328573
AETNA
WA
05
—
8341331
—
WA
01
—
8430KI
REGENCE
WA
01
—
8943009
L&I CRIME VICTIMS
WA
01
—
P00639804
RAILROAD MEDICARE
WA
Enumeration date
11/02/2006
Last updated
11/08/2019
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