SUNDANCE REHABILITATION AGENCY INC. NPI 1093760928

NPI Information

SUNDANCE REHABILITATION AGENCY, INC. is a rehabilitation clinic center in Columbia, MD. SUNDANCE REHABILITATION AGENCY, INC. NPI is 1093760928. The provider is registered as an organization entity type.
The provider Is Doing Business As Sundance Maryland Rehabilitation Agency.

The provider's business location address is:

6336 CEDAR LN
COLUMBIA, MD
ZIP 21044-897
Phone: (410) 531-3402
Fax: (410) 531-3402

The provider's authorized official is Sue Gwyn .
The authorized official title is President Director and has the following contact phone number (617) 646-5593.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 9/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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