Individual
DR. CHARLES C KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT PRACTITIONER
Contact information
Practice address
430 SHERMAN AVE STE 205, PALO ALTO, CA 94306-1853
(650) 701-7246
Mailing address
430 SHERMAN AVE STE 205, PALO ALTO, CA 94306-1853
(650) 701-7246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24005
CA
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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