Independence Healthcare PC

NPI #1467090019 in Soldotna, Alaska

Provider Information

NPI Number
1467090019
Entity Type
Organization
Organization Name
Independence Healthcare PC
Primary Specialty
Physical Therapist
Enumeration Date
Dec 13, 2019
Last Updated
Dec 16, 2019

Practice Location

Address
221 W MARYDALE AVE
State
Alaska
ZIP Code
99669-7420
Phone
(907) 262-2596

Authorized Official

Name
HENRY G KRULL, MD
Title
OWNER
Phone
(907) 262-6454

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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