Organization
FREEDOM PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RICKY BRYAN SR. BOCP (PRESIDENT)
(225) 665-0323
Entity
Organization
Contact information
Practice address
9354 FLORIDA BLVD, WALKER, LA 70785-7104
(225) 665-0323
(225) 665-0319
Mailing address
9354 FLORIDA BLVD, WALKER, LA 70785-7104
(225) 665-0323
(225) 665-0319
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025909
—
LA
Enumeration date
08/16/2007
Last updated
10/14/2019
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