Individual
TODD ALLEN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
17421 RIMROCK DR, GOLDEN, CO 80401-2564
(303) 216-2283
Mailing address
17421 RIMROCK DR, GOLDEN, CO 80401-2564
(303) 216-2283
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8012655-2402
UT
376K00000X
Nurse's Aide
NA-152991
CO
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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