Proliance Surgeons, Inc., P.s.

NPI #1407489156 in Mill Creek, Washington

Provider Information

NPI Number: 1407489156
Entity Type: Organization
Organization Name: Proliance Surgeons, Inc., P.s.
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Feb 20, 2020
Last Updated: Aug 19, 2022

Practice Location

Address: 15808 MILL CREEK BLVD STE 120
City: Mill Creek
State: Washington
ZIP Code: 98012-1500
Phone: (425) 225-6867

Authorized Official

Name: CORI M. PLEASANT
Title: MGR PROVIDER RELATIONS/ENROLLMENT
Phone: (206) 838-2585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Physical Therapist - Hand — Hand	2251H1200X
Occupational Therapist	225X00000X
Occupational Therapist - Hand — Hand	225XH1200X
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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