Individual
DANA B RUTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
100 AUGUSTA ST, GREENVILLE, SC 29601-3504
(864) 455-2600
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3809
SC
2251P0200X
Pediatric Physical Therapist
Primary
3809
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1611
—
SC
Enumeration date
08/10/2006
Last updated
05/12/2021
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