| NPI | 1710349642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M GANDOLFO Occupational Therapist 314-440-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-03-21 |
| Last Update Date | 2016-03-21 |