Healthcare Provider Details

I. General information

NPI: 1295650968
Provider Name (Legal Business Name): CHIARA DE PASCALIS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 POCONO DR
ARNOLD MD
21012-2449
US

IV. Provider business mailing address

17550 GATSBY TER
OLNEY MD
20832-2300
US

V. Phone/Fax

Practice location:
  • Phone: 240-418-4400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: