Organization
LIVING OAK INTEGRATED MEDICINE AND REHABILITATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMMY ALLAN FERRELL M.D. (PRESIDENT)
(724) 888-9428
Entity
Organization
Contact information
Practice address
3372 E JENALAN, POST FALLS, ID 83854-7787
(724) 888-9428
(818) 671-2225
Mailing address
3372 E JENALAN, POST FALLS, ID 83854-7787
(724) 888-9428
(818) 671-2225
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M-12915
ID
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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