| Latara Hart, LOTR, MOT, CDP, ISTM | |
|
2993 S State Highway 360 Ste 200, Grand Prairie, TX 75052-8906 | |
| (817) 618-5550 | |
| (214) 988-1542 |
| Full Name | Latara Hart |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2993 S State Highway 360 Ste 200, Grand Prairie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891060679 | NPI | - | NPPES |
| 404282201 | Medicaid | TX |
| Provider Name | Synergy Care Southeast, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20141017000587 |
| Provider Name | Circle Of Life Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730648601 PECOS PAC ID: 5395087886 Enrollment ID: O20190502002000 |
| Mailing Address | Practice Location Address |
|---|---|
| Latara Hart, LOTR, MOT, CDP, ISTM Po Box 541885, Grand Prairie, TX 75054-1885 Ph: (469) 580-9733 | Latara Hart, LOTR, MOT, CDP, ISTM 2993 S State Highway 360 Ste 200, Grand Prairie, TX 75052-8906 Ph: (817) 618-5550 |
Marsha G Trietsch, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Small St, Grand Prairie, TX 75050 Phone: 972-262-1351 | |
Marcie Campbell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1906 Surrey Cir, Grand Prairie, TX 75050 Phone: 817-437-5876 Fax: 817-665-9197 | |
George Minges Lyman, MOT,OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 512 Joy Dianne Dr, Grand Prairie, TX 75052 Phone: 214-986-6673 | |
Tamara Penny, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1304 E Coral Way, Grand Prairie, TX 75051 Phone: 972-237-4000 | |
Stephen A Koger, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 W Marshall Dr, Grand Prairie, TX 75051 Phone: 972-946-4400 | |
Deepa Moses, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Small St, Grand Prairie, TX 75050 Phone: 972-262-1351 | |
Cynthia Kidd, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 N Hwy 360 Ste 410, Grand Prairie, TX 75050 Phone: 817-652-2924 |