Clear Source Therapy and Clinical Resource Center LLC
NPI #1205571668 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1205571668
- Entity Type
- Organization
- Organization Name
- Clear Source Therapy and Clinical Resource Center LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Apr 30, 2022
- Last Updated
- Mar 15, 2023
Practice Location
- Address
- 392 FALLS AVE
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-3373
- Phone
- (208) 749-3475
Authorized Official
- Name
- EZEKIEL KELSEY, M.S., CCC-SLP
- Title
- OWNER
- Phone
- (208) 320-5686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
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