Red Canyon, LLC
NPI #1407361157 in Hagerstown, Maryland
Provider Information
- NPI Number
- 1407361157
- Entity Type
- Organization
- Organization Name
- Red Canyon, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- RED CANYON, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 4, 2017
- Last Updated
- Apr 23, 2021
Practice Location
- Address
- 12916 CONAMAR DR STE 103
- City
- Hagerstown
- State
- Maryland
- ZIP Code
- 21742-2760
- Phone
- (304) 665-3731
Authorized Official
- Name
- BRIAN IRA WEISMAN, PT
- Title
- OWNER
- Phone
- (410) 833-3025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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