Individual
MARY ELIZABETH VANDEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13937 S SPRAGUE LN STE 100, DRAPER, UT 84020-7864
(385) 308-8034
Mailing address
212 E COLUMBIA ST, COLORADO SPRINGS, CO 80907-7425
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
PLL.0016925
CO
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
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