| Dr Charles C Koo, MT PRACTITIONER | |
|
430 Sherman Ave Ste 205, Palo Alto, CA 94306-1853 | |
| (650) 701-7246 | |
| Not Available |
| Full Name | Dr Charles C Koo |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 430 Sherman Ave Ste 205, Palo Alto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194001875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 24005 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles C Koo, MT PRACTITIONER 430 Sherman Ave Ste 205, Palo Alto, CA 94306-1853 Ph: (650) 701-7246 | Dr Charles C Koo, MT PRACTITIONER 430 Sherman Ave Ste 205, Palo Alto, CA 94306-1853 Ph: (650) 701-7246 |
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