Individual
BRIAN ANTHONY SURAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MOMT, CSCS
Contact information
Practice address
2228 N WAHSATCH AVE, COLORADO SPRINGS, CO 80907-6940
(719) 268-8939
(719) 268-0944
Mailing address
337 WHISTLER CREEK CT, MONUMENT, CO 80132-8987
(719) 268-8939
(719) 268-0944
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2802
CO
Other
Enumeration date
09/16/2006
Last updated
11/07/2019
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