# RED CANYON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Red Canyon Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366007338
- **Authorized official:** DANIEL JAMES GARDNER (OWNER)
- **Authorized official phone:** (443) 416-7949

## Contact information

- **Practice address:** 5500 KNOLL NORTH DR STE 230, COLUMBIA, MD 21045-2362
- **Practice address phone:** (240) 575-9260
- **Mailing address:** 200 BUSINESS CENTER DR, REISTERSTOWN, MD 21136-1230
- **Mailing address phone:** (240) 575-9260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2019
- **Last updated:** 04/23/2021