Individual
HEATHER SISKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
301 LAKE ST, MERCY CENTER, DALLAS, PA 18612-1008
(570) 675-9588
(570) 674-5765
Mailing address
15 PLEASANTVIEW DR, MOUNTAIN TOP, PA 18707-1110
(570) 675-2131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT021022
PA
Other
Enumeration date
01/06/2011
Last updated
10/21/2014
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