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Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Eastside Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G. FITZGERALD (CEO)
(206) 838-2599
Entity
Organization
Contact information
Practice address
12911 120TH AVE NE, SUITE H-220, KIRKLAND, WA 98034-3027
(425) 216-7075
(425) 216-7094
Mailing address
805 MADISON ST., SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
601484763
WA
225X00000X
Occupational Therapist
601484763
WA
Other
Enumeration date
05/31/2006
Last updated
06/18/2013
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