Carlton, Retha Mae

Carlton, Retha Mae is an individual health care provider with primary practice located at 920 River Centre Pl Suite 200, Lawrenceville GA 30043-7320. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Carlton, Retha Mae can be contacted via phone (770) 682-6225.

Contact Information

Primary practice address
920 River Centre Pl Suite 200 Lawrenceville GA 30043-7320
Phone: (770) 682-6225
Fax: (770) 682-6275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT 003690 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT003690 Georgia

Profile Details

NPI number 1134317035
LBN Legal business name Carlton, Retha Mae
Credentials MPH OTR/L CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2007
Last updated Jan 30th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134317035 NPPES
Georgia Other 9611000449 HAND THERAPY CERTIFICATE

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