Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lori Gaines McCullom, OTR

Individual provider Skilled Nursing Facility · NPI 1134406762

Lori Gaines McCullom, OTR is a Skilled Nursing Facility in Cedar Grove, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2011
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

25 E Lindsley Rd
Cedar Grove, NJ 07009-1023
Phone: (973) 256-7220
Fax: (973) 256-4723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 46TR00355900 (NJ)

Record details

NPI number1134406762
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedNovember 10, 2011
Last updated in NPPESNovember 10, 2011

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