Individual
BLAKE CARLTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
667 S RIVER ST, PLAINS, PA 18705-1013
(570) 825-7676
Mailing address
667 S RIVER ST, PLAINS, PA 18705-1013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT032464
PA
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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