TIMOTHY ROSS CLARK

TWIN FALLS, ID
NPI1154665446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA168)
Enumeration Date2012-11-27
Last Update Date2012-11-27
Business Address
Mr. TIMOTHY ROSS CLARK PTA
201 10TH AVE N
TWIN FALLS, ID 83301-6372
Phone number: 208-734-4264
Mailing Address
Mr. TIMOTHY ROSS CLARK PTA
201 10TH AVE N
TWIN FALLS, ID 83301-6372
Phone number: