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Organization

RED CANYON, LLC

Active
Other names
Red Canyon Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL JAMES GARDNER (OWNER)
(443) 416-7949
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
05/06/2019
Last updated
04/23/2021
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