Provider Demographics
NPI:1215905021
Name:SALDIVAR, WENDY LYNN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:LYNN
Last Name:SALDIVAR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:LEYLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:7068 TRYSAIL CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5846
Mailing Address - Country:US
Mailing Address - Phone:716-474-2329
Mailing Address - Fax:
Practice Address - Street 1:1410 DR ML KING JR ST N
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3303
Practice Address - Country:US
Practice Address - Phone:727-726-1181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5418225X00000X
NY009001-1225X00000X
SC2721225X00000X
VA0119003553225X00000X
FLOT 11153225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist