PROLIANCE SURGEONS, INC., P.S.

Physical Therapist

Code: 225100000X

Physical Therapist — Hand

Code: 2251H1200X

Physical Therapist — Orthopedic

Code: 2251X0800X

Occupational Therapist

Code: 225X00000X

Occupational Therapist — Hand

Code: 225XH1200X

Clinic/Center — Multi-Specialty

Code: 261QM1300X

Durable Medical Equipment & Medical Supplies

Code: 332B00000X