| NPI | 1093760928 |
|---|---|
| Doing Business As | SUNDANCE MARYLAND REHABILITATION AGENCY |
| Entity Type | Organization |
| Authorized Contact | SUE GWYN President Director 617-646-5593 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: N/A) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2009-09-30 |