Active Life Orthotics and Prosthetics Corp.
NPI #1528506821 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1528506821
- Entity Type
- Organization
- Organization Name
- Active Life Orthotics and Prosthetics Corp.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 7, 2017
- Last Updated
- Dec 14, 2023
Practice Location
- Address
- 8380 CERRILLOS RD STE 304
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87507-4418
- Phone
- (505) 510-7171
Authorized Official
- Name
- PALLAVI NEMANI
- Title
- COMPLIANCE OFFICER
- Phone
- (512) 552-6311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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