| NPI | 1104474808 |
|---|---|
| Doing Business As | PROLIANCE SPORTS THERAPY AND REHAB OF BELLEVUE |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Credentialing & Enrollment Manager 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-03-23 |