Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1467845321 |
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| LBN Legal business name | PROLIANCE SURGEONS, INC., P.S. | ||||||||||||
| Authorized official | CORI PLEASANT - (MGR. PROVIDER RELATIONS/ENROLLMENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 03/16/2015 | ||||||||||||
| Last updated | 05/08/2024 - About 2 years ago | ||||||||||||
| Identifiers |
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