NPI 1104160662

Sundance Rehabilitation

Organisation Rehabilitation Hospital Unit Denton, MD

Practice location

Address: 520 Kerr Ave, Denton, MD 21629-1343
Phone: (410) 479-2130
Fax: (410) 479-3057
Mailing address: 200 Northpointe Cir STE 302, Seven Fields, PA 16046-7861

Authorised official

Name: Susan P Jordan
Title: Physical Therapist Assistant
Phone: (410) 479-2130

Registered specialties

Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 273Y00000X Licence A3417 (MD)

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Registry record

NPI: 1104160662
Entity type: Organization
NPI issued: 21 Nov 2012
Record last updated: 21 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.