| Amanda P Zullo, OTRL | |
|
48 Brookfield Oaks Dr, Greenville, SC 29607-6555 | |
| (864) 520-8910 | |
| (864) 520-8912 |
| Full Name | Amanda P Zullo |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 48 Brookfield Oaks Dr, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487157418 | NPI | - | NPPES |
| TH5233 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 6767 (South Carolina) | Primary |
| Provider Name | Coastal Play 2 Grow Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750828364 PECOS PAC ID: 6002279320 Enrollment ID: O20230901002952 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda P Zullo, OTRL 2400 Winchester Pl Ste 102b, Spartanburg, SC 29301-1518 Ph: (864) 576-7188 | Amanda P Zullo, OTRL 48 Brookfield Oaks Dr, Greenville, SC 29607-6555 Ph: (864) 520-8910 |
Martha Manieri, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 534 Old Howell Rd, Greenville, SC 29615 Phone: 864-244-3626 Fax: 864-244-6923 | |
Rebecca Grace Gratton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1353 Fax: 864-331-1446 | |
Shannon Jones, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 536 Old Howell Rd, Greenville, SC 29615 Phone: 864-244-3626 | |
Jami Trenor, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 11 East Augusta Place, Greenville, SC 29605 Phone: 864-991-8379 | |
Mrs. Kelly Macintire Prater, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1364 | |
Jana Feldman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1350 Fax: 864-331-1446 | |
Ginnette Malay-romkey, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1350 |