Individual
MADISON MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10006 AUBURN PARK DR, FORT WAYNE, IN 46825-2389
(260) 497-7191
Mailing address
12844 COLDWATER RD STE B, FORT WAYNE, IN 46845-8833
(260) 497-7191
(260) 497-7791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013739A
IN
Other
Enumeration date
06/18/2020
Last updated
08/05/2022
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