| Doctor Name: | DR. MICHELE A STAKE |
| NPI Number: | 1578717518 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MHS, DPT |
| License Number: | PT000478E |
| Business Practice Address: | 450 Levering Mill Rd Merion Station, PA - 190661239 |
| Business Phone Number: | 6106675973 |
| Business Fax Number: | |
| Mailing Address: | 450 Levering Mill Rd, MERION STATION |
| State: | PA |
| Postal Code: | 190661239 |
| Phone Number: | 6106675973 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2008 |
| NPI Last Update Date: | 11/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT000478E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |