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ALICIA BURILLO GORHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
156 ANDOVER ST UNIT 2, DANVERS, MA 01923-1468
(978) 767-8343
(978) 767-8349
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0361401
NY
225100000X
Physical Therapist
Primary
21382
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110110058A
MA
01
1233079
AMERICAN SPECIALTY HEALTH (ASHCIGNA)
MA
01
233423
TUFTS HEALTH PLANS- COMMERCIAL PLANS
MA
01
4731307
AETNA
MA
01
877138
OPTUM/UNITED HEALTH CARE
MA
Enumeration date
08/20/2013
Last updated
04/25/2025
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