SearchSouth Carolina225X00000X

Gianna Jacullo, OTR/L

NPI 1841045119 · on the registry since 2024 · sole proprietor

Practice

Address
1110 Heather Glen Blvd
Little River, SC 29566
Phone
(631) 708-7913

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina