OrganizationActive
24 Truckhouse Road Operations LLC
NPI 1174977540 · Physical Therapist · Severna Park, MD
Provider details
- NPI number
- 1174977540
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Michael Berg, Assistant Secretary
- License
- 02019 (MD)
Mailing address
310 Genesis Way
Severna Park, MD 21146-1762
Registry dates
- Enumerated
- 2016-04-21
- Last updated
- 2017-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.