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Individual
MARLA J WYLAND
Active
Individual
MARLA J WYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017645660001
—
PA
01
—
249481
HEALTH AMERICA
PA
01
—
262793
HIGHMARK
PA
01
—
3763570
AETNA HMO
PA
01
—
7392611
AETNA
PA
Enumeration date
12/01/2006
Last updated
03/17/2021
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