Individual
JACK V SCODIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6070 W BELL RD STE A103, GLENDALE, AZ 85308-3774
(602) 782-3965
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-034228
AZ
Other
Enumeration date
11/12/2020
Last updated
08/13/2025
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