Individual
MARYAM NAHIDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 FOREST AVE, PORTLAND, ME 04103-3304
(207) 781-8881
Mailing address
46 AVON ST APT 2, PORTLAND, ME 04101-3381
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT6393
ME
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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