# MARY ELIZABETH VANDEVEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003343260
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 05014994A | IN | — |
| 225100000X | Physical Therapist | 050472 | NY | — |
| 225100000X | Physical Therapist | 070.027215 | IL | — |
| 225100000X | Physical Therapist | 10033 | TN | — |
| 225100000X | Physical Therapist | 11-07291 | KS | — |
| 225100000X | Physical Therapist | 1373888 | TX | — |
| 225100000X | Physical Therapist | 304318 | CA | — |
| 225100000X | Physical Therapist | PLL.0016925 | CO | Yes |
| 225100000X | Physical Therapist | PT-2324 | WY | — |
| 225100000X | Physical Therapist | PT020768 | OH | — |
| 225100000X | Physical Therapist | PT026407 | PA | — |
| 225100000X | Physical Therapist | PT03657 | RI | — |
| 225100000X | Physical Therapist | PT39443 | FL | — |
| 225100000X | Physical Therapist | PT6402 | ME | — |
| 225100000X | Physical Therapist | PTH11154 | AL | — |

## Other

- **Enumeration date:** 05/18/2017
- **Last updated:** 08/26/2024