LARA KRISTINE BLACK

SAN ANTONIO, TX
NPI1679519078
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: TX  109710)
Enumeration Date2006-06-22
Last Update Date2007-07-08
Business Address
-- LARA KRISTINE BLACK OT
227 W DREXEL AVE
SAN ANTONIO, TX 78210-2912
Phone number: 210-731-1300
Mailing Address
-- LARA KRISTINE BLACK OT
3031 IH 10 W
SAN ANTONIO, TX 78201-5159
Phone number:
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