Individual
AMANDA P ZULLO
Active
Individual
AMANDA P ZULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201010050
MI
225XP0200X
Pediatric Occupational Therapist
Primary
6767
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH5233
—
SC
Enumeration date
03/15/2018
Last updated
03/12/2026
Update your record
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