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ACTIVE LIFE, LLC

Organization (NPI-2) Active

Prosthetic/Orthotic Supplier

Provider Information

NPI Number
1063902708
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
255 TERRACINA BLVD STE 205A, REDLANDS, CA, 923734870
Phone
(909) 748-0168
Fax
(909) 748-5881

Specialties & Taxonomies

Prosthetic/Orthotic Supplier Primary

All Addresses

LOCATION

255 TERRACINA BLVD STE 205A

REDLANDS, CA, 923734870

(909) 748-0168

MAILING

1577 E CHEVY CHASE DR STE 210

GLENDALE, CA, 912064741

(818) 495-4610