# INDEPENDENCE REHAB EQUIPMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Independence Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366624223
- **Authorized official:** MR. KEN C. HEALY (PRESIDENT)
- **Authorized official phone:** (210) 832-9770

## Contact information

- **Practice address:** 8844 TRADEWAY ST, SAN ANTONIO, TX 78217-6115
- **Practice address phone:** (210) 832-9770
- **Practice address fax:** (210) 832-0010
- **Mailing address:** 8844 TRADEWAY ST, SAN ANTONIO, TX 78217-6115
- **Mailing address phone:** (210) 832-9770
- **Mailing address fax:** (210) 832-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0098372 | TX | Yes |
| 332BC3200X | Customized Equipment (DME) | 0098372 | TX | — |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 12/03/2007