Organization
SOLOR
Active
Organization
SOLOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNON BURGESS (OWNER/ THERAPIST)
(719) 208-0211
Entity
Organization
Contact information
Practice address
4925 WINESKIN CIR, COLORADO SPRINGS, CO 80916-2695
(719) 208-0211
Mailing address
4925 WINESKIN CIR, COLORADO SPRINGS, CO 80916-2695
(719) 208-0211
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
—
—
221700000X
Art Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
Primary
—
—
225800000X
Recreation Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
226300000X
Kinesiotherapist
—
—
374J00000X
Doula
—
—
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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