Individual
CHARLOTTE RUTHERFURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 E SOUTH TEMPLE, SLC, UT 84102-1507
(617) 671-8924
Mailing address
29 GOMEZ RD, HOBE SOUND, FL 33455-2213
(617) 671-8924
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
116485952401
UT
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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