Individual
DOMINIC JUNG SOO KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2800 E DESERT INN RD STE 200, LAS VEGAS, NV 89121-3632
(702) 294-7499
Mailing address
151 KANUNU ST, APT 1404, HONOLULU, HI 96814
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3661
NV
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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