Individual
CODY ALLEN DIGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5605 E ROCKTON RD, ROSCOE, IL 61073-7601
(815) 525-4410
(815) 525-4505
Mailing address
1969 W HART RD, BELOIT, WI 53511-2298
(608) 364-5173
(608) 363-5790
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070024156
IL
225100000X
Physical Therapist
14481
WI
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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