Provider Demographics
NPI:1477731479
Name:NORWEG, ANNA R (OTR)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:R
Last Name:NORWEG
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:ROSARIA
Other - Last Name:MIGLIORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:580 HARRISON AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2440
Mailing Address - Country:US
Mailing Address - Phone:617-273-4079
Mailing Address - Fax:
Practice Address - Street 1:580 HARRISON AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2440
Practice Address - Country:US
Practice Address - Phone:617-273-4079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOT679225X00000X
NY007528-1225X00000X
MA09068225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist