Active Life, LLC
NPI #1942865605 in Apple Valley, California
Provider Information
- NPI Number
- 1942865605
- Entity Type
- Organization
- Organization Name
- Active Life, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- May 7, 2019
- Last Updated
- Jan 24, 2023
Practice Location
- Address
- 16008 KAMANA RD STE 202A
- City
- Apple Valley
- State
- California
- ZIP Code
- 92307-1376
- Phone
- (760) 515-6311
Authorized Official
- Name
- PALLAVI CHINTAPALLI NEMANI
- Title
- COMPLIANCE OFFICER
- Phone
- (512) 552-6311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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