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Active Body Supplies
Prosthetic/Orthotic Supplier in Tarzana, California
NPI 1649439969

Active Body Supplies is a Prosthetic/Orthotic Supplier based in Tarzana, CA. Active Body Supplies practices in Tarzana, CA. The NPI Number for Active Body Supplies is 1649439969 and holds a License No. 17786DC (California).

The current practice location address for Active Body Supplies is 18344 Clark St, Tarzana, CA and can be reached out via phone at 818-704-4754.

Location: 18344 Clark St, Tarzana, CA, 91356-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649439969
Provider Name
Active Body Supplies
Credential
Provider Entity Type
Organization
Address
18344 Clark St, Tarzana, CA, 91356-3505
Phone Number
818-704-4754
Fax Number
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1598771719 01 NPI
17786 01 CA CA CHIROPRACTOR
institution
Provider Business Practice Location Address Details
Address
18344 Clark St
City
Tarzana
State
California
Zip
91356-3505
Phone Number
818-704-4754
Fax Number
person
Provider Business Mailing Address Details
Address
18344 Clark St
City
Tarzana
State
California
Zip
91356-3505
Phone Number
818-704-4754
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
17786DC (California)
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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