Individual
MR. MARK RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT PHYSICAL THERAPIS
Contact information
Practice address
607 JOHNNIE DODDS BLVD STE A, MT PLEASANT, SC 29464-3084
(843) 884-7880
(843) 884-6635
Mailing address
586 LONE TREE DR, MT PLEASANT, SC 29464
(843) 884-7880
(843) 884-6635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1588
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1753
—
SC
05
—
TH0260
—
SC
Enumeration date
07/31/2006
Last updated
10/04/2007
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