Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0104 | AL |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0104 | AL |
NPI | 1194973370 |
---|---|
Provider Name | Mrs. Kim Maria Stirling |
First Address | Mobile, AL 36607-3508 |
Second Address | Mobile, AL 36607-3508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2008 |
Last Update Date | 31/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0104 | OCCUPATIONAL THERAPIST (01) | AL |