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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TIMOTHY ROSS CLARK, PTA

Active Sole Proprietor

MR. TIMOTHY ROSS CLARK, PTA is a Occupational Therapist healthcare provider located in TWIN FALLS, Idaho. NPI 1154665446 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · TWIN FALLS, ID

Registration Details

NPI Number
1154665446
Provider Type
Individual
Gender
Male
NPI Issued
Nov 27, 2012 (13.668380416461 yrs)
Last Updated
Nov 27, 2012
License
PTA168 (ID)
Sole Proprietor
Yes

Practice Information

Address
201 10TH AVE N
TWIN FALLS, ID, 833016372
Browse ID providers · Browse ZIP 83301
Phone
2087344264
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in TWIN FALLS, ID

Name Credential NPI
JOHN ALBERT WILLIAMS PTA 1891039293
MARTIN OKELBERRY PTA 1689919706
SHANE GRAYSON PTA 1295143147
LEANNE CAMPEAU PTA 1275082984
KRISTINA KAY HILL PTA 1922665553
HEIDI COILLOT PTA 1467010272
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.