Provider Demographics
NPI:1003873043
Name:SILKEN, JO (ATC)
Entity Type:Individual
Prefix:MS
First Name:JO
Middle Name:
Last Name:SILKEN
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 ALAMEDA DE LAS PULGAS
Mailing Address - Street 2:#143
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-1266
Mailing Address - Country:US
Mailing Address - Phone:650-201-3344
Mailing Address - Fax:
Practice Address - Street 1:3300 COLLEGE DR
Practice Address - Street 2:SKYLINE COLLEGE
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-1662
Practice Address - Country:US
Practice Address - Phone:650-738-4283
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer