DR. Charles C Koo, MT PRACTITIONER

NPI #1194001875 in Palo Alto, California

Provider Information

NPI Number: 1194001875
Entity Type: Individual
Name: DR. Charles C Koo, MT PRACTITIONER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MT PRACTITIONER
Enumeration Date: Oct 26, 2011
Last Updated: Oct 26, 2011

Practice Location

Address: 430 SHERMAN AVE STE 205
City: Palo Alto
State: California
ZIP Code: 94306-1853
Phone: (650) 701-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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