Organization
REDWOOD INJURY TREATMENT CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ORMOND (OWNER)
(801) 856-6368
Entity
Organization
Contact information
Practice address
6321 S REDWOOD RD, SUITE 105, TAYLORSVILLE, UT 84123-6798
(801) 904-3089
Mailing address
44 UNION BLVD, SUITE 125, LAKEWOOD, CO 80228-1856
(303) 330-0024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
352304-1205
UT
261QP2000X
Physical Therapy Clinic/Center
7376354-2401
UT
Other
Enumeration date
06/01/2015
Last updated
04/08/2016
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