Organization
FREEDOM MOBILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYCE MATTHEW WALZER ATP (CEO)
(501) 413-4855
Entity
Organization
Contact information
Practice address
10515 W MARKHAM ST, SOHO CENTRE H6, LITTLE ROCK, AR 72205-2297
(501) 413-4855
Mailing address
10515 W MARKHAM ST, SUITE H6, LITTLE ROCK, AR 72205-2297
(501) 413-4855
(866) 929-2005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207787716
—
AR
Enumeration date
10/30/2013
Last updated
11/30/2020
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