Individual
LORA J BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6250 FOX TAIL DR, LEBANON, OH 45036-7596
(937) 478-6605
Mailing address
6250 FOX TAIL DR, LEBANON, OH 45036-7596
(937) 478-6605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
532
OH
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
05/13/2025
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