| NPI | 1467090019 |
|---|---|
| Doing Business As | INDEPENDENCE THERAPY |
| Entity Type | Organization |
| Authorized Contact | HENRY G KRULL Owner 907-262-6454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-16 |