OrganizationActive
Wonderfully Made Pediatrics
NPI 1356758494 · Early Intervention Provider Agency · Ballwin, MO
Provider details
- NPI number
- 1356758494
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jennifer Bensinger, Owner/Physical Therapist(314) 440-6240
- License
- 2003006580 (MO)
Specialties & taxonomies
Agencies
Practice location
1215 Dornewood Pl
Ballwin, MO 63021-6879
Phone: (314) 440-6240
Approximate (ZIP-level) locationGet directions
Mailing address
1215 Dornewood Pl
Ballwin, MO 63021-6879
Registry dates
- Enumerated
- 2014-07-21
- Last updated
- 2014-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.