Mr. TIMOTHY ROSS CLARK -- PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1154665446- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 201 10TH AVE N, TWIN FALLS, ID, 833016372
- Phone
- (208) 734-4264
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: ID #PTA168
All Addresses
MAILING
201 10TH AVE N
TWIN FALLS, ID, 833016372