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Organization
SUNDANCE REHABILITATION LLC
Active
Organization
SUNDANCE REHABILITATION LLC
Active
Other names
Sundance Rehabilitation Agency of Wisconsin
Organization subpart
No
Provider details
NPI number
Authorized official
IAN OPPEL (COO)
(980) 254-7007
Entity
Organization
Contact information
Practice address
3933 S PRAIRIE HILL LN, C/O HICKORY PARK, GREENFIELD, WI 53228-2371
(414) 546-3371
(847) 360-9311
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4560
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41811700
—
WI
Enumeration date
05/22/2006
Last updated
04/03/2025
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