Organization
INDEPENDENCE HEALTHCARE PC
Active
Other names
Independence Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY G KRULL MD (OWNER)
(907) 262-6454
Entity
Organization
Contact information
Practice address
221 W MARYDALE AVE, SOLDOTNA, AK 99669-7420
(907) 262-2596
Mailing address
291 N FIREWEED ST, SOLDOTNA, AK 99669-7540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/16/2019
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