CODY GIOVENCO

ELGIN, IL
NPI1760264162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.009779)
Enumeration Date2023-10-19
Last Update Date2024-12-03
Business Address
CODY GIOVENCO PTA
365 S RANDALL RD
ELGIN, IL 60123-5526
Phone number: 847-930-5950
Mailing Address
CODY GIOVENCO PTA
33900 HARPER AVE STE 104
CLINTON TWP, MI 48035-4258
Phone number: 586-350-2644
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