National Provider Identifier
Deanna Marie Iacullo, OTR/L
Deanna Marie Iacullo, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Corning, NY and a listed phone number of (607) 737-7804.
Profile Overview
- NPI
- 1649084179
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- February 05, 2025
- Last Updated
- February 05, 2025
Practice Location
- 123 Conhocton St
- Corning, NY 14830-2959
Phone: (607) 737-7804
Mailing Address
- 265 Denison Pkwy E
- Corning, NY 14830-2940
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1649084179
- Entity Type
- Individual
- Last Name
- Iacullo
- First Name
- Deanna
- Middle Name
- Marie
- Credential
- OTR/L
- Mailing Street Address
- 265 Denison Pkwy E
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-2940
- Mailing Country
- US
- Mailing Phone
- (908) 616-7701
- Practice Street Address
- 123 Conhocton St
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2959
- Practice Country
- US
- Practice Phone
- (607) 737-7804
- Enumeration Date
- February 05, 2025
- Last Updated
- February 05, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 05, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)