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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