Provider Demographics
NPI:1194973370
Name:STIRLING, KIM MARIA (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KIM
Middle Name:MARIA
Last Name:STIRLING
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 1:1758 SPRINGHILL AVE
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-3508
Mailing Address - Country:US
Mailing Address - Phone:251-479-0551
Mailing Address - Fax:251-479-0522
Practice Address - Street 1:1758 SPRINGHILL AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3508
Practice Address - Country:US
Practice Address - Phone:251-479-0551
Practice Address - Fax:251-479-0522
Is Sole Proprietor?:No
Enumeration Date:2008-08-31
Last Update Date:2008-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0104225X00000X, 225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0104OtherOCCUPATIONAL THERAPIST