Individual
MAHLON WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1707 FOUNTAINVIEW DR, MANSFIELD, TX 76063-5091
(817) 752-9662
(682) 400-8251
Mailing address
105 SETTLERS CREEK DR, DESOTO, TX 75115-3665
(972) 230-1494
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
213733
TX
225X00000X
Occupational Therapist
122142
TX
225XP0200X
Pediatric Occupational Therapist
Primary
122142
TX
Other
Enumeration date
10/15/2019
Last updated
01/05/2022
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