| Colt | |
|
2993 S Watson Rd, 200, Grand Prairie, TX 75052 | |
| (469) 580-9733 | |
| (214) 988-1542 |
| Full Name | Colt |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 2993 S Watson Rd, Grand Prairie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730648601 | NPI | - | NPPES |
| 405282201 | Medicaid | TX | |
| 483216401 | Medicaid | TX |
| Provider Name | Latara Hart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891060679 PECOS PAC ID: 0648512137 Enrollment ID: I20190502002636 |
| Provider Name | Demond Turner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316429152 PECOS PAC ID: 2860896107 Enrollment ID: I20210809000773 |
| Mailing Address | Practice Location Address |
|---|---|
| Colt 2993 S State Highway 360 Ste 200, Grand Prairie, TX 75052-8906 Ph: (469) 580-9733 | Colt 2993 S Watson Rd, 200, Grand Prairie, TX 75052 Ph: (469) 580-9733 |
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 |