OrganizationActive
Jennifer Gandolfo
NPI 1710349642 · Early Intervention Provider Agency · Lake St. Louis, MO
Provider details
- NPI number
- 1710349642
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jennifer Gandolfo, Occupational Therapist(314) 440-8985
Specialties & taxonomies
Agencies
Practice location
710 Abbottsford Ct.
Lake St. Louis, MO 63367
Phone: (314) 479-0306
Approximate (ZIP-level) locationGet directions
Mailing address
710 Abbottsford Ct.
Lake St. Louis, MO 63367
Registry dates
- Enumerated
- 2016-03-21
- Last updated
- 2016-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.