DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SUNDANCE REHABILITATION

MEDICARE: SUNDANCE REHABILITATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1273Y00000XRehabilitation Hospital UnitA3417MD

General Provider Information

NPI Number : 1104160662
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNDANCE REHABILITATION
Provider Business Mailing Address
First Line : 200 NORTHPOINTE CIR STE 302
Second Line :
City : SEVEN FIELDS
State : PA
Zip : 16046-7861
Country : US
Telephone Number : 800-815-8577
Fax Number :
Provider Business Practice Location Address
First Line : 520 KERR AVE
Second Line :
City : DENTON
State : MD
Zip : 21629-1343
Country : US
Telephone Number : 410-479-2130
Fax Number : 410-479-3057
Authorized Official
Title or Position : PHYSICAL THERAPIST ASSISTANT
Name : MISS SUSAN P JORDAN
Credential : PTA
Telephone Number : 410-479-2130
Provider Enumeration Date : 11/21/2012
Last Update Date : 11/21/2012

Similar Medicare Providers

1821080805 — CAROLINE NURSING HOME, INC
Practice Location Address:
520 KERR AVE
DENTON, MD
21629-1343
Practice Phone: 410-479-2130
Practice Fax: 410-479-3057
1053372102 — MS. PRISCILLA DAVIS SCOTT PT
Practice Location Address:
520 KERR AVE
DENTON, MD
21629-1343
Practice Phone: 410-479-2130
Practice Fax: 410-479-3057
1376669143 — VICTORIA D JONES PTA
Practice Location Address:
520 KERR AVE
DENTON, MD
21629-1343
Practice Phone: 410-479-2130
Practice Fax: 410-479-9018
1255457040 — MRS. JOAN LOUISE ADAMS COTA
Practice Location Address:
520 KERR AVE
DENTON, MD
21629-1343
Practice Phone: 410-479-2130
Practice Fax:
1487832929 — CHANNEL MARKER, INC
Practice Location Address:
508 KERR AVE
DENTON, MD
21629-1343
Practice Phone: 410-479-2318
Practice Fax:
1346585668 — MR. RAJEWENI KUMAR GOVINDU OTR
Practice Location Address:
520 KERR AVE
DENTON, MD
21629-1343
Practice Phone: 410-479-2130
Practice Fax: 410-479-0396

Directions to “SUNDANCE REHABILITATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.