Individual
MR. MICHAEL THOMAS STAIBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
13 CHESTNUT RD, NEWTOWN SQUARE, PA 19073-2903
(770) 757-1480
Mailing address
13 CHESTNUT RD, NEWTOWN SQUARE, PA 19073-2903
(770) 757-1480
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
OC010626
PA
225XM0800X
Mental Health Occupational Therapist
OC10626
PA
225XN1300X
Neurorehabilitation Occupational Therapist
OC10626
PA
251E00000X
Home Health Agency
Primary
OC10626
PA
Other
Enumeration date
08/21/2009
Last updated
05/05/2022
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