Jennifer Gandolfo, OTR Valid NPI

Individual provider · Occupational Therapist · O Fallon, MO

NPI

1013053735

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

2000163193 (MO)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-01-29

Last updated

2007-07-08