Provider Demographics
NPI:1750796264
Name:SCUITO, JANINA (OTR/L)
Entity type:Individual
Prefix:
First Name:JANINA
Middle Name:
Last Name:SCUITO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 HAGYS FORD RD
Mailing Address - Street 2:
Mailing Address - City:PENN VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1051
Mailing Address - Country:US
Mailing Address - Phone:610-213-7194
Mailing Address - Fax:
Practice Address - Street 1:1600 HAGYS FORD RD
Practice Address - Street 2:APT. 5K
Practice Address - City:PENN VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19072-1051
Practice Address - Country:US
Practice Address - Phone:610-213-7194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-23
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA012967225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist