| NPI | 1184446742 |
|---|---|
| Doing Business As | PROLIANCE SPORTS THERAPY AND REHAB OF ISSAQUAH-BELLEVUE COMMONS |
| Entity Type | Organization |
| Authorized Contact | CORI M. PLEASANT Credentialing Manager 206-838-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-30 |