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1760264162
CODY GIOVENCO
SCHAUMBURG, IL
NPI
1760264162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.009779)
Enumeration Date
2023-10-19
Last Update Date
2023-10-19
Business Address
CODY GIOVENCO PTA
186 E GOLF RD
SCHAUMBURG, IL 60173-3726
Phone number: 847-598-0392
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Mailing Address
CODY GIOVENCO PTA
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
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