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Organization
PROLIANCE SURGEONS INC., P.S.
Active
Organization
PROLIANCE SURGEONS INC., P.S.
Active
Other names
Proliance Sports Therapy and Rehab of Issaquah, Proliance Sports Therapy and Rehab of Issaquah-Snoqualmie, Proliance Sports Therapy and Rehab of Issaquah-Bellevue Commons
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (CREDENTIALING MANAGER)
(206) 838-2585
Entity
Organization
Contact information
Practice address
510 8TH AVE NE STE 340, ISSAQUAH, WA 98029-5449
(425) 313-3051
(425) 313-3051
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 313-3055
(425) 313-3051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
601484763
WA
225100000X
Physical Therapist
Primary
—
—
2251H1200X
Hand Physical Therapist
—
—
225X00000X
Occupational Therapist
601484763
WA
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153519
WA LABOR & INDUSTRIES
WA
05
—
2202744
—
WA
Enumeration date
02/02/2007
Last updated
04/21/2026
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