OrganizationActive
Active Life Orthotics and Prosthetics Corp
NPI 1891354197 · Prosthetic/Orthotic Supplier · Albuquerque, NM
Provider details
- NPI number
- 1891354197
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Pallavi Nemani, Compliance Officer(512) 552-6311
Specialties & taxonomies
Suppliers
Practice location
124 Alvarado Dr Se
Albuquerque, NM 87108-2940
Phone: (505) 266-1700
Fax: (505) 349-5170
Approximate (ZIP-level) locationGet directions
Mailing address
124 Alvarado Dr Se
Albuquerque, NM 87108-2940
Registry dates
- Enumerated
- 2019-06-10
- Last updated
- 2023-12-14
- Certified
- 2023-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.