Provider Demographics
NPI:1962968123
Name:WENDLAND, DANIEL P (PT-DPT)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:P
Last Name:WENDLAND
Suffix:
Gender:M
Credentials:PT-DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 THOMAS ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-4017
Mailing Address - Country:US
Mailing Address - Phone:251-654-3769
Mailing Address - Fax:
Practice Address - Street 1:719 S CHESTER RD
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-2710
Practice Address - Country:US
Practice Address - Phone:610-543-4605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT-6057225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist