| NPI | 1083752042 |
|---|---|
| Doing Business As | PROLIANCE SPORTS THERAPY AND REHAB OF ISSAQUAH |
| Entity Type | Organization |
| Authorized Contact | LAURA KLEISLE Chief Risk Officier 206-838-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 601484763) |
| 2251H1200X Physical Therapist, Hand | |
| 225X00000X Occupational Therapist (Licence: WA 601484763) | |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2021-05-27 |