Most Relevant Information
Provider Data
| NPI Number: | 1003343260 |
| Provider Name: | MARY ELIZABETH VANDEVEN DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT39443 |
Most Important Dates
| Enumeration Date: | 05/18/2017 |
| Last Updated: | 08/26/2024 |
Provider Practice Location
13937 S SPRAGUE LN STE 100
DRAPER
UT
840207864
Practice Location Phone/Fax
| Phone: | 3853088034 |
| Fax: |
Provider Mailing Location
212 E COLUMBIA ST
COLORADO SPRINGS
CO
809077425
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |