Individual
DR. ZACHARY PORTER CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1365 BROADWAY, BANGOR, ME 04401-2401
(207) 942-2233
(207) 262-1130
Mailing address
233 ELM ST, BANGOR, ME 04401-4005
(706) 207-1224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6178
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT6178
MAINE BOARD OF PHYSICAL THERAPY
ME
Enumeration date
05/09/2022
Last updated
05/09/2022
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