Individual
MEGAN WYAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4019
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4019
PHYSICAL THERAPY LICENSE
ID
Enumeration date
04/03/2015
Last updated
04/03/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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