Individual
MRS. JENNIFER GANDOLFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1307 SOFT CROSSING LN, O FALLON, MO 63366-1481
(314) 440-8985
Mailing address
1307 SOFT CROSSING LN, O FALLON, MO 63366-1481
(314) 440-8985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2000163193
MO
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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