Individual
FAWN BURNS ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 WIDGER RD, MARBLEHEAD, MA 01945
(781) 631-8250
(781) 639-2060
Mailing address
1 WIDGER RD, MARBLEHEAD, MA 01945
(781) 631-8250
(781) 639-2060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13087
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0702099
—
MA
01
—
Y68380
BCBS
MA
Enumeration date
12/09/2005
Last updated
07/08/2007
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