Rudisill, Chadd Lee

Rudisill, Chadd Lee is an individual health care provider with primary practice located at 207 Blooming Grove Rd Sport Center Pt, Hanover PA 17331-7917. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Rudisill, Chadd Lee can be contacted via phone (717) 632-3431.

Contact Information

Primary practice address
207 Blooming Grove Rd Sport Center Pt Hanover PA 17331-7917
Phone: (717) 632-3431
Fax: (717) 633-5143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT015215 Pennsylvania

Profile Details

NPI number 1790737476
LBN Legal business name Rudisill, Chadd Lee
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 21st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790737476 NPPES
Pennsylvania Other PT015215 PA LICENSE #

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