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Organization
PROLIANCE SURGEONS INC., P.S.
Active
Organization
PROLIANCE SURGEONS INC., P.S.
Active
Parent organization
PROLIANCE SURGEONS INC., P.S.
Other names
STAR Sports Therapy and Athletic Rehabilitation
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROLIANCE SURGEONS INC., P.S.
Authorized official
MR. DAVID G. FITZGERALD (CEO)
(206) 838-2599
Entity
Organization
Contact information
Practice address
8009 S 180TH ST, SUITE 112, KENT, WA 98032-1042
(425) 226-7827
(425) 251-5757
Mailing address
720 OLIVE WAY, SUITE 1505, SEATTLE, WA 98101-1878
(206) 838-2590
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
601484763
WA
225X00000X
Occupational Therapist
601484763
WA
Other
Enumeration date
06/14/2006
Last updated
08/01/2008
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