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ACTIVE LIFE, LLC 1174293997

Name: ACTIVE LIFE, LLC Specialty: Prosthetic/Orthotic Supplier Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Practice Type: Suppliers Classification: Prosthetic/Orthotic Supplier Specialization: . Definition of Specialty: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
License & NPI
License #(s): , , , , License State(s): , , , ,
Practice Location: ACTIVE LIFE, LLC,25405 HANCOCK AVE STE 213,MURRIETA,CA,925625978,US Mailing Address: ACTIVE LIFE, LLC,1577 E CHEVY CHASE DR STE 210,GLENDALE,CA,912064741,US
Contact #
Practice location phone #: 9516980505 Practice location fax #: 9513350707 Mailing address Phone #: 8184954610 Mailing Address fax #: 8184842812 Authorized official Name/Telephone #:SPENCER, ARDEN, DOTY, PRESIDENT 8586167724
Date NPI was obtained: 09/14/2021 Last data data was updated: 09/14/2021 Insurances:

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