Provider Demographics
NPI:1851514525
Name:COPELAND IONADI, WENDY PATRICIA (DPT)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:PATRICIA
Last Name:COPELAND IONADI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:WENDY
Other - Middle Name:PATRICIA
Other - Last Name:COPELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:35 GREENVIEW LN
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-4312
Mailing Address - Country:US
Mailing Address - Phone:610-308-0880
Mailing Address - Fax:
Practice Address - Street 1:35 GREENVIEW LN
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-4312
Practice Address - Country:US
Practice Address - Phone:610-308-0880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017481225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013925250001Medicaid