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Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Sports Therapy and Rehabilitation of Bellevue
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (DEL CRED & ENROLLMENT MANAGER)
(206) 838-2585
Entity
Organization
Contact information
Practice address
3101 NORTHUP WAY STE 101, BELLEVUE, WA 98004-1469
(425) 462-5006
(425) 462-5019
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
601484763
WA
225100000X
Physical Therapist
Primary
—
—
2251H1200X
Hand Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310661
WA L&I
WA
Enumeration date
06/06/2006
Last updated
03/24/2023
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