Provider Demographics
NPI:1457398323
Name:CHESLA, DANIEL G (PT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:G
Last Name:CHESLA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CRAIN HWY N
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-2803
Mailing Address - Country:US
Mailing Address - Phone:410-768-9500
Mailing Address - Fax:410-768-5200
Practice Address - Street 1:1300 RITCHIE HWY
Practice Address - Street 2:SUITE A
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2244
Practice Address - Country:US
Practice Address - Phone:410-975-0975
Practice Address - Fax:410-315-9150
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD215992251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic