National Provider Identifier
George Ruddy, DPT
George Ruddy, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Penn Yan, NY and a listed phone number of (315) 536-4051.
Profile Overview
- NPI
- 1932963881
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 12, 2024
- Last Updated
- February 12, 2024
Practice Location
- 207 1/2 Lake St
- Penn Yan, NY 14527-1802
Phone: (315) 536-4051
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1932963881
- Entity Type
- Individual
- Last Name
- Ruddy
- First Name
- George
- Credential
- DPT
- Mailing Street Address
- 207 1/2 Lake St
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1802
- Mailing Country
- US
- Mailing Phone
- (315) 536-4051
- Mailing Fax
- (315) 531-8577
- Practice Street Address
- 207 1/2 Lake St
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1802
- Practice Country
- US
- Practice Phone
- (315) 536-4051
- Practice Fax
- (315) 531-8577
- Enumeration Date
- February 12, 2024
- Last Updated
- February 12, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- February 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)