Individual
ELIZABETH VAN DYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7259 S BINGHAM JUNCTION BLVD, MIDVALE, UT 84047-4860
(616) 975-5077
Mailing address
7259 S BINGHAM JUNCTION BLVD, MIDVALE, UT 84047-4860
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5659
ME
Other
Enumeration date
08/04/2020
Last updated
11/21/2022
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