Gianna Marie Jacullo, OTR/L
NPI #1841045119 in Little River, South Carolina
Provider Information
- NPI Number
- 1841045119
- Entity Type
- Individual
- Name
- Gianna Marie Jacullo, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Apr 20, 2024
- Last Updated
- Nov 18, 2025
Practice Location
- Address
- 1110 HEATHER GLEN BLVD
- City
- Little River
- State
- South Carolina
- ZIP Code
- 29566-5947
- Phone
- (631) 708-7913
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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