Provider Demographics
NPI:1750576781
Name:CARLTON HAND THERAPY, INC
Entity type:Organization
Organization Name:CARLTON HAND THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:RETHA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:CARLTON
Authorized Official - Suffix:
Authorized Official - Credentials:MPH OTR/L CHT
Authorized Official - Phone:770-682-6225
Mailing Address - Street 1:PO BOX 1230
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-1230
Mailing Address - Country:US
Mailing Address - Phone:770-682-6225
Mailing Address - Fax:770-682-6275
Practice Address - Street 1:920 RIVER CENTRE PL
Practice Address - Street 2:SUITE 200
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-7320
Practice Address - Country:US
Practice Address - Phone:770-682-6225
Practice Address - Fax:770-682-6275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT0003690261QR0400X
GAOT 0003690261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation