William J Dearen, PT

NPI #1750388922 in Kingsland, Georgia

Provider Information

NPI Number: 1750388922
Entity Type: Individual
Name: William J Dearen, PT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 4, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 140 LAKES BLVD
Address 2: SUITE C
City: Kingsland
State: Georgia
ZIP Code: 31548-6813
Phone: (706) 802-1991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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