Organization
SUNDANCE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SUSAN P JORDAN PTA (PHYSICAL THERAPIST ASSISTANT)
(410) 479-2130
Entity
Organization
Contact information
Practice address
520 KERR AVE, DENTON, MD 21629-1343
(410) 479-2130
(410) 479-3057
Mailing address
200 NORTHPOINTE CIR STE 302, SEVEN FIELDS, PA 16046-7861
(800) 815-8577
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
A3417
MD
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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