Provider Demographics
NPI:1053604074
Name:TALKO, LIZBETH SCHETTIG (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LIZBETH
Middle Name:SCHETTIG
Last Name:TALKO
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 1:18889 CROGHAN PIKE
Mailing Address - Street 2:
Mailing Address - City:ORBISONIA
Mailing Address - State:PA
Mailing Address - Zip Code:17243-9685
Mailing Address - Country:US
Mailing Address - Phone:814-447-3037
Mailing Address - Fax:814-447-3062
Practice Address - Street 1:18889 CROGHAN PIKE
Practice Address - Street 2:
Practice Address - City:ORBISONIA
Practice Address - State:PA
Practice Address - Zip Code:17243-9685
Practice Address - Country:US
Practice Address - Phone:814-447-3037
Practice Address - Fax:814-447-3062
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005926314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility