OrganizationActive
1 Magnolia Drive Operations LLC
NPI 1326492703 · Physical Therapist · La Plata, MD
Provider details
- NPI number
- 1326492703
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Michael Berg, Assistant Secretary
- License
- 08005 (MD)
Mailing address
1 Magnolia Dr
La Plata, MD 20646-9357
Registry dates
- Enumerated
- 2016-04-21
- Last updated
- 2017-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.