Individual
EMILY NICOLE VANDERMADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9823 AUBURN RD, FORT WAYNE, IN 46825-2347
(260) 497-7191
Mailing address
9823 AUBURN RD, FORT WAYNE, IN 46825-2347
(260) 497-7191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011764A
IN
Other
Enumeration date
08/17/2015
Last updated
09/22/2025
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