Individual
MRS. MADELINE M WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1505 BRIARVISTA WAY NE, ATLANTA, GA 30329-3635
(678) 491-8539
Mailing address
1505 BRIARVISTA WAY NE, ATLANTA, GA 30329-3635
(678) 491-8539
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT006551
GA
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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