Individual
MR. CHADD LEE RUDISILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
207 BLOOMING GROVE RD, SPORT CENTER PT, HANOVER, PA 17331-7917
(717) 632-3431
(717) 633-5143
Mailing address
207 BLOOMING GROVE RD, HANOVER, PA 17331-7917
(717) 632-3431
(717) 633-5143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015215
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT015215
PA LICENSE #
PA
Enumeration date
05/17/2006
Last updated
10/21/2009
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