Individual
GEORGE RUDISILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
115 PINE CREST DR, DENVER, PA 17517-9410
(717) 215-6923
Mailing address
115 PINE CREST DR, DENVER, PA 17517-9410
(717) 215-6923
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT005838L
PA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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