Provider Demographics
NPI:1437667227
Name:STIRLING, CHRISTA M
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:M
Last Name:STIRLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 N GALLATIN AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2102
Mailing Address - Country:US
Mailing Address - Phone:724-984-3556
Mailing Address - Fax:
Practice Address - Street 1:36 OLD HICKORY RIDGE RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-8613
Practice Address - Country:US
Practice Address - Phone:724-228-5010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP007895224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant