| Organization Name: | SUNDANCE REHABILITATION AGENCY INC |
| NPI Number: | 1073662607 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL A HIRSCHFELD (PRESIDENT) |
| Mailing Address: | 3001 W Blue Starr Dr Claremore |
| State: | OK US |
| Postal Code: | 740172544 |
| Phone Number: | 9182831257 |
| Fax Number: | 4104807169 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |