Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Sports Therapy and Rehab of Bellevue
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (CREDENTIALING & ENROLLMENT MANAGER)
(206) 838-2585
Entity
Organization
Contact information
Practice address
3101 NORTHUP WAY STE 301, BELLEVUE, WA 98004-1449
(425) 462-5006
(425) 462-5019
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 507-0733
(425) 283-5551
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/27/2019
Last updated
03/23/2023
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