Provider Demographics
NPI:1841445186
Name:CILLINO, LORI A (MED OTR/L)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:A
Last Name:CILLINO
Suffix:
Gender:F
Credentials:MED OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 BENEFIT ST
Mailing Address - Street 2:#23
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-6700
Mailing Address - Country:US
Mailing Address - Phone:401-739-5805
Mailing Address - Fax:
Practice Address - Street 1:23 BENEFIT ST
Practice Address - Street 2:#23
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-6700
Practice Address - Country:US
Practice Address - Phone:401-739-5805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT00641225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist