| Ellie Sunah Koo, DPT | |
|
2815 S Main St Ste 205, Corona, CA 92882-2533 | |
| (951) 475-1307 | |
| (951) 475-1308 |
| Full Name | Ellie Sunah Koo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2815 S Main St Ste 205, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144738956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT294074 (California) | Primary |
| Provider Name | Mesisca Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821104472 PECOS PAC ID: 6406749548 Enrollment ID: O20040203001148 |
| Provider Name | Advance Occupational & Hand Therapy Center |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1093746752 PECOS PAC ID: 0143251579 Enrollment ID: O20050830001031 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Sunah Koo, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: () - | Ellie Sunah Koo, DPT 2815 S Main St Ste 205, Corona, CA 92882-2533 Ph: (951) 475-1307 |
Christine Marie Eddow, PT DPT OCS WCS CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2815 S Main St, Ste. 205, Corona, CA 92882 Phone: 951-475-1307 Fax: 951-475-1308 | |
Dr. Daphne Fajayan Bantigue, B.S., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Brunswick Cir, Corona, CA 92879 Phone: 909-762-4443 | |
Dr. Hannah Jona Kitch, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2815 S Main St Ste 205, Corona, CA 92882 Phone: 951-475-1307 | |
Mark Ibrahim, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 Viewcrest Ct, Corona, CA 92882 Phone: 347-817-0674 | |
Brian Thio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 886 Magnolia Ave, Suite 100, Corona, CA 92879 Phone: 951-340-3402 Fax: 951-340-3416 | |
Corona Hills Physical Therapy & Wellness Physical Therapist Medicare: Medicare Enrolled Practice Location: 4300 Green River Rd Ste 114, Corona, CA 92880 Phone: 951-382-4238 Fax: 951-254-9928 | |
Joseph Christian Santiago, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 886 Magnolia Ave, Suite 100, Corona, CA 92879 Phone: 951-340-3402 Fax: 951-340-3416 |