Provider Demographics
NPI:1003910746
Name:STARKEY, SUZANNE BROOKE (PT OCS)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:BROOKE
Last Name:STARKEY
Suffix:
Gender:F
Credentials:PT OCS
Other - Prefix:MISS
Other - First Name:SUZANNE
Other - Middle Name:
Other - Last Name:BROOKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:71 GABLES LN
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-7838
Mailing Address - Country:US
Mailing Address - Phone:843-757-0244
Mailing Address - Fax:
Practice Address - Street 1:1525 CHAPIN RD
Practice Address - Street 2:CHAPIN REHABILITATION CLINIC INC
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-0337
Practice Address - Country:US
Practice Address - Phone:803-345-3811
Practice Address - Fax:803-345-3018
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4181225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist