Provider Demographics
NPI:1467744839
Name:CARLTON, RACHEL G (PT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:G
Last Name:CARLTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 NE 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4422
Mailing Address - Country:US
Mailing Address - Phone:423-599-1038
Mailing Address - Fax:
Practice Address - Street 1:7676 PETERS RD STE C
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-4032
Practice Address - Country:US
Practice Address - Phone:954-474-4403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9567225100000X
OH011747225100000X
FLPT31574225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist