Individual
BEN DEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6434 DALE DR, MARION, MS 39342-8704
(601) 483-4285
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3928
MS
Other
Enumeration date
11/16/2009
Last updated
01/04/2010
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