OrganizationActive
Sundance Rehabilitation Agency, LLC
NPI 1760437743 · Rehabilitation Clinic/Center · Johns Creek, GA
Provider details
- NPI number
- 1760437743
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Sundance Rehabilitation Corporation
- Organization subpart
- Yes
- Authorized official
- Ian Oppel, Coo(980) 254-7007
- License
- N/A
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
11405 Medlock Bridge Rd
Johns Creek, GA 30097-1688
Phone: (470) 299-5049
Approximate (ZIP-level) locationGet directions
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2025-12-12
- Certified
- 2025-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.