Individual provider · Type 1 NPI

Gianna Marie Jacullo, OTR/L

Occupational Therapist · Little River, SC

NPI number 1841045119 Active

Practice location

1110 Heather Glen Blvd
Little River, SC 29566-5947

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X7159 (SC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1841045119

Gianna Marie Jacullo, OTR/L's National Provider Identifier is 1841045119, issued on Apr 20, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Little River, SC. The record was last updated on Nov 18, 2025.