Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Physical & Hand Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (MGR. PROVIDER RELATIONS/ENROLLMENT)
(206) 838-2585
Entity
Organization
Contact information
Practice address
6808 220TH ST SW STE 200, MOUNTLAKE TERRACE, WA 98043-2187
(425) 673-3916
(425) 673-3926
Mailing address
7320 216TH ST SW STE 320, EDMONDS, WA 98026-8006
(425) 673-3916
(425) 673-3926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0532700040
DME
WA
Enumeration date
11/19/2021
Last updated
08/19/2022
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