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	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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