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

Lara Kristine Black, OT

Individual provider Pediatric Occupational Therapist · NPI 1679519078

Lara Kristine Black, OT is a Pediatric Occupational Therapist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

227 W Drexel Ave
San Antonio, TX 78210-2912
Phone: (210) 731-1300
Fax: (210) 738-8025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 109710 (TX)

Record details

NPI number1679519078
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESJuly 8, 2007

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