NPI | 1417499575 |
---|---|
Doing Business As | PROLIANCE REHABILITATION, SPORTS AND SPINE CENTER |
Entity Type | Organization |
Authorized Contact | CORI M. PLEASANT Mgr Provider Relations/Enrollment 206-838-2585 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA 601484763) |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2016-11-07 |
Last Update Date | 2022-08-22 |