Dominic Jung Soo Koo, PT

NPI #1013424068 in Las Vegas, Nevada

Provider Information

NPI Number: 1013424068
Entity Type: Individual
Name: Dominic Jung Soo Koo, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 29, 2017
Last Updated: Dec 29, 2017

Practice Location

Address: 2800 E DESERT INN RD STE 200
City: Las Vegas
State: Nevada
ZIP Code: 89121-3632
Phone: (702) 294-7499

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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