Provider Demographics
NPI:1427926351
Name:WEILAND, WENDY (ATR-BC, LCPAT)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:WEILAND
Suffix:
Gender:F
Credentials:ATR-BC, LCPAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 MIRASOL CIR APT 101
Mailing Address - Street 2:
Mailing Address - City:CELEBRATION
Mailing Address - State:FL
Mailing Address - Zip Code:34747-5138
Mailing Address - Country:US
Mailing Address - Phone:239-292-5957
Mailing Address - Fax:
Practice Address - Street 1:508 MIRASOL CIR APT 101
Practice Address - Street 2:
Practice Address - City:CELEBRATION
Practice Address - State:FL
Practice Address - Zip Code:34747-5138
Practice Address - Country:US
Practice Address - Phone:239-292-5957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL85-015221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist