Provider Demographics
NPI:1609441799
Name:WILK, ANNA M (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:M
Last Name:WILK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CAPE ANN ORTHOPEDIC AND SPORTS PHYSICAL THERAPY CENTER
Mailing Address - Street 2:40 BEACH ST. UNIT 101
Mailing Address - City:MANCHESTER-BY-THE-SEA
Mailing Address - State:MA
Mailing Address - Zip Code:01944
Mailing Address - Country:US
Mailing Address - Phone:978-526-8288
Mailing Address - Fax:
Practice Address - Street 1:40 BEACH ST STE 101
Practice Address - Street 2:
Practice Address - City:MANCHESTER BY THE SEA
Practice Address - State:MA
Practice Address - Zip Code:01944-1464
Practice Address - Country:US
Practice Address - Phone:978-526-8288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25473225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist