NPI | 1841245701 |
---|---|
Doing Business As | SUNDANCE REHABILITATION AGENCY OF WISCONSIN |
Entity Type | Organization |
Authorized Contact | IAN OPPEL COO 980-254-7007 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2006-05-22 |
Last Update Date | 2025-04-03 |