Organization
SUNDANCE REHABILITATION AGENCY, LLC
Active
Parent organization
SUNDANCE REHABILITATION CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNDANCE REHABILITATION CORPORATION
Authorized official
IAN OPPEL (COO)
(980) 254-7007
Entity
Organization
Contact information
Practice address
11405 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097-1688
(470) 299-5049
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(800) 728-8808
(610) 347-4147
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
N/A
—
Other
Enumeration date
05/24/2006
Last updated
12/12/2025
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