Individual
CRAIG WILLIAM VANDERMADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6410 W JEFFERSON BLVD STE 15A, FORT WAYNE, IN 46804-6282
(260) 299-7272
(260) 299-7273
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005043A
IN
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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