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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