Organization
SUNDANCE REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN OPPEL (COO)
(980) 254-7007
Entity
Organization
Contact information
Practice address
6902 PARKSIDE CIR, DEFOREST, WI 53532-2560
(610) 925-4560
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
03/25/2025
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