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
190 W DAYTON ST STE 202, EDMONDS, WA 98020-7221
(425) 582-8118
(425) 582-7420
Mailing address
7320 216TH ST SW STE 320, EDMONDS, WA 98026-8006
(425) 673-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0532700048
DME
WA
Enumeration date
02/20/2020
Last updated
08/19/2022
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