Provider Demographics
NPI:1710644695
Name:BURROWS, ERICA CATHERINE (LMT)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:CATHERINE
Last Name:BURROWS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:CATHERINE
Other - Last Name:MATAMOROS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMT
Mailing Address - Street 1:2109 BEVERLY RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-1116
Mailing Address - Country:US
Mailing Address - Phone:609-444-9262
Mailing Address - Fax:
Practice Address - Street 1:751 NJ-73
Practice Address - Street 2:SUITE 11
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-0805
Practice Address - Country:US
Practice Address - Phone:267-225-1972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-26
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT01346500225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty