NPI 1528506821

Active Life Orthotics and Prosthetics Corp.

Organisation Prosthetic/Orthotic Supplier Santa Fe, NM

Practice location

Address: 8380 Cerrillos Rd STE 304, Santa Fe, NM 87507-4418
Phone: (505) 510-7171
Mailing address: 124 Alvarado Dr SE, Albuquerque, NM 87108-2940

Authorised official

Name: Pallavi Nemani
Title: Compliance Officer
Phone: (512) 552-6311

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1528506821
Entity type: Organization
NPI issued: 7 Feb 2017
Record last updated: 14 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.