Provider Demographics
NPI:1629769526
Name:ZOLLINGER, STIRLAND RICH (OTD)
Entity Type:Individual
Prefix:
First Name:STIRLAND
Middle Name:RICH
Last Name:ZOLLINGER
Suffix:
Gender:M
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 7TH AVE W UNIT B
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-5691
Mailing Address - Country:US
Mailing Address - Phone:208-431-4082
Mailing Address - Fax:
Practice Address - Street 1:185 COMMONS LOOP STE D
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-1913
Practice Address - Country:US
Practice Address - Phone:406-314-6060
Practice Address - Fax:406-314-6061
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTOTP-OT-PRV-10085225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist