Provider Demographics
NPI:1033285754
Name:WARE, DAVID J (PT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:WARE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:701 METAIRIE RD
Mailing Address - Street 2:STE 1A 202
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005
Mailing Address - Country:US
Mailing Address - Phone:504-831-3227
Mailing Address - Fax:504-831-3284
Practice Address - Street 1:701 METAIRIE RD
Practice Address - Street 2:STE 1A 202
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005
Practice Address - Country:US
Practice Address - Phone:504-831-3227
Practice Address - Fax:504-831-3284
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAPT031412251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5X623Medicare ID - Type Unspecified