Organization
BBR SOLE ,INC.
Active
Other names
FOOT SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNELLE RAE REYNOLDS (VICE PRESIDENT)
(623) 536-6676
Entity
Organization
Contact information
Practice address
1981 N PEBBLE CREEK PKWY, C-5, GOODYEAR, AZ 85395-2543
(623) 536-6676
(623) 536-6686
Mailing address
1981 N PEBBLE CREEK PKWY, C-5, GOODYEAR, AZ 85395-2543
(623) 536-6676
(623) 536-6686
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
20177786
AZ
Other
Enumeration date
07/25/2007
Last updated
06/08/2015
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