OrganizationActive
Sundance Rehabilitation Agency, Inc
NPI 1407012990 · Rehabilitation Clinic/Center · Ballwin, MO
Provider details
- NPI number
- 1407012990
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Sundance Rehabilitation Corporation
- Organization subpart
- Yes
- Authorized official
- Sue Gwyn, President Director(505) 821-3355
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
14525 Clayton Rd
Apt #410
Ballwin, MO 63011-2764
Phone: (636) 527-3510
Fax: (636) 527-3510
Approximate (ZIP-level) locationGet directions
Mailing address
101 Sun Ave Ne
Albuquerque, NM 87109-4373
Other names (DBA / former)
- Doing business as
- Sundance Rehabilitation Agency of Missouri
Registry dates
- Enumerated
- 2008-08-04
- Last updated
- 2009-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.