Provider Demographics
NPI:1831801133
Name:STARKEY, PAMELA RAE (OT)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:RAE
Last Name:STARKEY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2299 COUNTY ROAD 194
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43019-9600
Mailing Address - Country:US
Mailing Address - Phone:614-571-5193
Mailing Address - Fax:
Practice Address - Street 1:965 HIGH ST
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4057
Practice Address - Country:US
Practice Address - Phone:513-609-4497
Practice Address - Fax:614-784-0401
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5044225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist