MEDICARE: MRS. MADELINE M WARE OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	OT006551	GA

General Provider Information

NPI Number	:	1699222331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MADELINE M WARE OTR/L

Provider Business Mailing Address
First Line	:	1505 BRIARVISTA WAY NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3635
Country	:	US
Telephone Number	:	678-491-8539
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 BRIARVISTA WAY NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3635
Country	:	US
Telephone Number	:	678-491-8539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2016
Last Update Date	:	09/09/2016

Similar Medicare Providers

1699217893 — MR. SANJAY RAZDAN RPH
Practice Location Address:

3635 E PACES CIR NE , UNIT 1414
ATLANTA, GA
30326-7811

Practice Phone: 678-316-0957
Practice Fax:

1427791631 — PRIMO HEALTH PARTNERS
Practice Location Address:

3635 RIVERS CALL BLVD
ATLANTA, GA
30339-8502

Practice Phone: 404-293-0039
Practice Fax:

1528867223 — PRIMO HEALTH PARTNERS, INC.
Practice Location Address:

3635 RIVERS CALL BLVD
ATLANTA, GA
30339-8502

Practice Phone: 404-217-7831
Practice Fax:

1902755887 — ROLA DOUGHAN
Practice Location Address:

2138 GREENSWARD DR NE
ATLANTA, GA
30345-3635

Practice Phone: 404-630-6462
Practice Fax:

1598039422 — DR. KATHRYN MARIE PETERSON PHD
Practice Location Address:

1920 BRIARCLIFF RD NE
ATLANTA, GA
30329-4010

Practice Phone: 404-785-9400
Practice Fax:

1477012326 — ZURI HUDSON DO
Practice Location Address:

2220 N DRUID HILLS RD NE
ATLANTA, GA
30329-3117

Practice Phone: 404-785-5437
Practice Fax:

Directions to “ MRS. MADELINE M WARE OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.