Doctor Name: | MR. CHADD LEE RUDISILL |
NPI Number: | 1790737476 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT015215 |
Business Practice Address: | 207 Blooming Grove Rd Sport Center Pt Hanover, PA - 173317917 |
Business Phone Number: | 7176323431 |
Business Fax Number: | 7176335143 |
Mailing Address: | 207 Blooming Grove Rd, HANOVER |
State: | PA |
Postal Code: | 173317917 |
Phone Number: | 7176323431 |
Fax Number: | 7176335143 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 10/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT015215 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |