Doctor Name: | MR. CURT IRA CHESLOG |
NPI Number: | 1225029614 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, MSPT, OCS |
License Number: | 00773 |
Business Practice Address: | 80 Stonington Rd Suite A-3 Mystic, CT - 063552965 |
Business Phone Number: | 8605361699 |
Business Fax Number: | 8605361686 |
Mailing Address: | 80 Stonington Rd, Suite A-3 MYSTIC |
State: | CT |
Postal Code: | 063552965 |
Phone Number: | 8605361699 |
Fax Number: | 8605361686 |
NPI Enumeration Date: | 11/03/2005 |
NPI Last Update Date: | 09/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 00773 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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 |