Individual
CODY GIOVENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
365 S RANDALL RD, ELGIN, IL 60123-5526
(847) 930-5950
(847) 930-5951
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009779
IL
Other
Enumeration date
10/19/2023
Last updated
12/03/2024
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