Individual
MARK F WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4435 MANGUM DR, SUITE A, FLOWOOD, MS 39232-2114
(601) 932-0305
Mailing address
4435 MANGUM DR, SUITE A, FLOWOOD, MS 39232-2114
(601) 932-0305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1165
MS
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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