| Organization Name: | SUNDANCE REHABILITATION AGENCY, INC. |
| NPI Number: | 1396986535 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUE GWYN (PRESIDENT DIRECOTR) |
| Mailing Address: | 50 W Main St Hopkinton |
| State: | MA US |
| Postal Code: | 017481672 |
| Phone Number: | 5084351250 |
| Fax Number: | 5084352213 |
| NPI Enumeration Date: | 03/18/2009 |
| NPI Last Update Date: | 09/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |