| NPI | 1134166119 |
|---|---|
| Doing Business As | PROLIANCE EASTSIDE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DAVID G. FITZGERALD CEO 206-838-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 601484763) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 601484763) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-06-18 |