Individual
MARYAM NASIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 KINGRIDGE DR, BALLWIN, MO 63011-2731
(314) 447-5600
Mailing address
510 KINGRIDGE DR, BALLWIN, MO 63011-2731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025040808
MO
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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