Individual
MR. JOHN THOMAS GIOVENGO IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,ATC,PTA
Contact information
Practice address
408 WATER ST, BENWOOD, WV 26031-1124
(304) 233-9091
Mailing address
408 WATER ST, BENWOOD, WV 26031-1124
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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