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Active Life, Llc
Prosthetic/Orthotic Supplier in Redlands, California
NPI 1063902708

Active Life, Llc is a Prosthetic/Orthotic Supplier based in Glendale, CA. Active Life, Llc practices in Redlands, CA. The NPI Number for Active Life, Llc is 1063902708 and holds a License No. (California).

The current practice location address for Active Life, Llc is 255 Terracina Blvd Ste 205A, Redlands, CA and can be reached out via phone at 909-748-0168 and via fax at 909-748-5881.

Location: 255 Terracina Blvd Ste 205A, Redlands, CA, 91206-4741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063902708
Provider Name
Active Life, Llc
Credential
Provider Entity Type
Organization
Address
255 Terracina Blvd Ste 205A, Redlands, CA, 91206-4741
Phone Number
909-748-0168
Fax Number
909-748-5881
Provider Enumeration Date
05/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XC0009601 05 CA
institution
Provider Business Practice Location Address Details
Address
255 Terracina Blvd Ste 205A
City
Redlands
State
California
Zip
92373-4870
Phone Number
909-748-0168
Fax Number
909-748-5881
person
Provider Business Mailing Address Details
Address
255 Terracina Blvd Ste 205A
City
Redlands
State
California
Zip
92373-4870
Phone Number
909-748-0168
Fax Number
909-748-5881
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
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.
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