Individual
DEANNA MARIE IACULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
123 CONHOCTON ST, CORNING, NY 14830-2959
(607) 737-7804
Mailing address
265 DENISON PKWY E, CORNING, NY 14830-2940
(908) 616-7701
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029898
NY
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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