LORA J BLACK

LEBANON, OH
NPI1154455475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies225X00000X Occupational Therapist
(Licence: OH  532)
Enumeration Date2007-03-16
Last Update Date2025-05-13
Business Address
LORA J BLACK OT
6250 FOX TAIL DR
LEBANON, OH 45036-7596
Phone number: 937-478-6605
Mailing Address
LORA J BLACK OT
6250 FOX TAIL DR
LEBANON, OH 45036-7596
Phone number: 937-478-6605