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PROLIANCE SURGEONS INC. P.S. NPI 1104474808


NPI Information

NPI: 1104474808
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE SPORTS THERAPY AND REHAB OF BELLEVUE

Classification: Occupational Therapist - 225XH1200X
Entity Type: Organization

Specialization: Hand

Address:
3101 NORTHUP WAY STE 301
BELLEVUE, WA
ZIP 98004
Phone: (425) 462-5006
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PROLIANCE SURGEONS, INC., P.S. is a hand occupational therapist in Bellevue, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1104474808. The provider is registered as an organization entity type.
The provider Is Doing Business As Proliance Sports Therapy And Rehab Of Bellevue.

The provider's business location address is:

3101 NORTHUP WAY STE 301
BELLEVUE, WA
ZIP 98004-449
Phone: (425) 462-5006
Fax: (425) 462-5019

The provider's authorized official is Cori M. Pleasant .
The authorized official title is Credentialing & Enrollment Manager and has the following contact phone number (206) 838-2585.

The enumeration date for this NPI number is 8/27/2019 and was last updated on 3/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2225XH1200XOccupational TherapistHandYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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