Lori Gaines Mccullom, OTR
NPI #1134406762 in Cedar Grove, New Jersey
Provider Information
- NPI Number
- 1134406762
- Entity Type
- Individual
- Name
- Lori Gaines Mccullom, OTR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Credential
- OTR
- Enumeration Date
- Nov 10, 2011
- Last Updated
- Nov 10, 2011
Practice Location
- Address
- 25 E LINDSLEY RD
- City
- Cedar Grove
- State
- New Jersey
- ZIP Code
- 07009-1023
- Phone
- (973) 256-7220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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Organizations
| Provider Name | |
|---|---|
| Cg Healthcare LLC | |
| Cg Healthcare LLC |
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