Melanie Rose Iacullo, OTR/L

NPI #1093476400 in Monroe, New York

Provider Information

NPI Number: 1093476400
Entity Type: Individual
Name: Melanie Rose Iacullo, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jan 7, 2022
Last Updated: Jan 7, 2022

Practice Location

Address: 3 VAN KEUREN CT
City: Monroe
State: New York
ZIP Code: 10950-1525
Phone: (845) 545-4632

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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