Koo, Susan
Koo, Susan is an individual health care provider with primary practice located at 475 Pioneer Ave Suite 200, Woodland CA 95776-4905. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Koo, Susan can be contacted via phone (530) 406-5620.Contact Information
Primary practice address
475 Pioneer Ave Suite 200
Woodland CA 95776-4905
Phone: (530) 406-5620
Fax: (530) 406-5622
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT16296 | California |
Profile Details
| NPI number | 1144232034 |
|---|---|
| LBN Legal business name | Koo, Susan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Jul 29th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144232034 | NPPES |
| California | MEDICAID | PT0162960 |
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