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An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI Number | 1891354197 |
| LBN Legal business name | ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP |
| Authorized official | PALLAVI NEMANI - (COMPLIANCE OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/10/2019 |
| Last updated | 12/14/2023 - About 2 years ago |
| Identifiers | n/a |
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| SAMUEL WEISBERG PROSTHETICS LLC 1018 COAL AVE SE ALBUQUERQUE, NM |
| JUDITH S SCHNEIDER, L.I.S.W. 21074A HIGHWAY 84 ABIQUIÚ, NM |
| LAS CLINICAS DEL NORTE INCORPORATED 21192 HIGHWAY 84 ABIQUIÚ, NM |
| ASHLEY E HARDISON HOUSE 9 ABIQUIU VILLAGE ABIQUIÚ, NM |
| ELENA MONTOYA 10 MISSION PLACE ABIQUIÚ, NM |
| CLARISSA MONDRAGON, RN 21342 US HIGHWAY 84 ABIQUIÚ, NM |
ACTIVE LIFE ORTHOTICS AND PROSTHETICS CORP