Wonderfully Made Pediatrics
Wonderfully Made Pediatrics is an Early Intervention Provider Agency in Ballwin, Missouri. Licensed in Missouri. Registered with an NPI since 2014.
- Licensed in
- MO
- In the registry since
- 2014
Practice location Address checks out
1215 Dornewood PlBallwin, MO 63021-6879
Phone: (314) 440-6240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X · Licence 2003006580 (MO) |
|---|
Record details
| NPI number | 1356758494 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Bensinger — Owner/Physical Therapist · (314) 440-6240 |
| NPI enumerated | July 21, 2014 |
| Last updated in NPPES | July 21, 2014 |
| Mailing address | 1215 Dornewood Pl, Ballwin, MO 63021-6879 |