Provider Demographics
NPI:1659680437
Name:BURNS, ANNA KOTEFF (PT)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:KOTEFF
Last Name:BURNS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:CATHERINE
Other - Last Name:KOTEFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:14 MELODY LN
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-3324
Mailing Address - Country:US
Mailing Address - Phone:920-375-1158
Mailing Address - Fax:
Practice Address - Street 1:14 MELODY LN
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-3324
Practice Address - Country:US
Practice Address - Phone:920-375-1158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12732225100000X
OR6323225100000X
WAPT30179121225100000X
MA20509225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist