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
15808 MILL CREEK BLVD STE 120, MILL CREEK, WA 98012-1500
(425) 225-6867
(425) 332-2494
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
601484763
WA
2251H1200X
Hand Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
601484763
WA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155550
—
WA
01
—
338245
WA LABOR & INDUSTRIES
WA
Enumeration date
03/16/2015
Last updated
05/08/2024
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