Provider Demographics
NPI:1063525327
Name:WINELAND, LINDA (OTR)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:WINELAND
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-2304
Mailing Address - Country:US
Mailing Address - Phone:814-946-0914
Mailing Address - Fax:
Practice Address - Street 1:3960 STATE ROUTE 30
Practice Address - Street 2:SUITE 104
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-5257
Practice Address - Country:US
Practice Address - Phone:724-532-3422
Practice Address - Fax:724-534-3424
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006153L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA456172OtherHIGHMARK BC BS