NPI 1356758494

Wonderfully Made Pediatrics

Organisation Early Intervention Provider Agency Ballwin, MO

Practice location

Address: 1215 Dornewood Pl, Ballwin, MO 63021-6879
Phone: (314) 440-6240

Authorised official

Name: Jennifer Bensinger
Title: Owner/Physical Therapist
Phone: (314) 440-6240

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 2003006580 (MO)

Other Early Intervention Provider Agency providers in Missouri →

Registry record

NPI: 1356758494
Entity type: Organization
NPI issued: 21 Jul 2014
Record last updated: 21 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.