MR. Timothy Ross Clark, PTA
NPI #1154665446 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1154665446
- Entity Type
- Individual
- Name
- MR. Timothy Ross Clark, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 27, 2012
- Last Updated
- Nov 27, 2012
Practice Location
- Address
- 201 10TH AVE N
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-6372
- Phone
- (208) 734-4264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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