Organization
PROLIANCE SURGEONS INC P S
Active
Other names
Proliance Sports Therapy and Rehab of Issaquah-Bellevue Commons
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (CREDENTIALING MANAGER)
(206) 838-2585
Entity
Organization
Contact information
Practice address
1200 112TH AVE NE STE C260, BELLEVUE, WA 98004-3746
(425) 313-3055
(425) 313-3051
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 313-3055
(425) 313-3051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/30/2024
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