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Contact Information

LORI G MCCULLOM, OTR
25 E LINDSLEY RD
CEDAR GROVE, NJ07009-1023
 Phone: 973-256-7220
 Fax: 973-256-4723
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LORI G MCCULLOM · (Female)

NPI Number 1134406762
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 11/10/2011
Last updated 11/10/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 46TR00355900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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