Individual
ERIC ROUTTEN
Active
Individual
ERIC ROUTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12307
SC
225100000X
Physical Therapist
Primary
2305213034
VA
225100000X
Physical Therapist
CP042996T
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12307
SOUTH CAROLINA STATE LICENSE
SC
01
—
2305213034
VIRGINIA STATE LICENSE
VA
Enumeration date
08/07/2019
Last updated
06/19/2026
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