Provider Demographics
NPI:1548462989
Name:STAAB, ERIKA LEIGH (DPT)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:LEIGH
Last Name:STAAB
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:282 IVEN AVE
Mailing Address - Street 2:APT 3A
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4925
Mailing Address - Country:US
Mailing Address - Phone:610-971-8222
Mailing Address - Fax:
Practice Address - Street 1:1503 LANSDOWNE AVE
Practice Address - Street 2:SMLWC 2ND FLOOR OUTPATIENT PHYSICAL THERAPY
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1330
Practice Address - Country:US
Practice Address - Phone:610-237-3664
Practice Address - Fax:610-237-2520
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT015823225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist