Mrs. Retha Mae Carlton
Occupational Therapist Occupational Therapist - Hand
920 River Centre Pl Suite 200
Lawrenceville
, Georgia 30043-7320
Mrs. Retha Mae Carlton
Occupational Therapist Occupational Therapist - Hand
920 River Centre Pl Suite 200
Lawrenceville
, Georgia 30043-7320
(770) 682-6225
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Mrs. Retha Mae Carlton
- Po Box 1230
- Lawrenceville, GA
- Zip : 30046-1230
- Phone : (770) 682-6225
Second Address
- Mrs. Retha Mae Carlton
- 920 River Centre Pl Suite 200
- Lawrenceville, GA
- Zip : 30043-7320
- Fax : (770) 682-6275
- Phone : (770) 682-6225
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Is Mrs. Retha Mae Carlton a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | OT 003690 | GA |
| Y | 225XH1200X | Occupational Therapist - Hand | OT003690 | GA |
National Provider Identifier
| NPI | 1134317035 |
|---|---|
| Provider Name | Mrs. Retha Mae Carlton |
| First Address | Lawrenceville, GA 30046-1230 |
| Second Address | Lawrenceville, GA 30043-7320 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2007 |
| Last Update Date | 30/01/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 9611000449 | HAND THERAPY CERTIFICATE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.