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Organization

CIRCLE OF LIFE THERAPY, PLLC

Active
Other names
COLT
Organization subpart
No

Provider details

NPI number
Authorized official
LATARA HART MOT (OWNER)
(469) 580-9733
Entity
Organization

Contact information

Practice address
319 OSLER DR STE 160, ARLINGTON, TX 76010-5407
(817) 618-5550
(214) 988-1542
Mailing address
2993 S STATE HIGHWAY 360 STE 200, GRAND PRAIRIE, TX 75052-8906
(469) 580-9733
(214) 988-1542

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
405282201
TX
05
483216401
TX
Enumeration date
03/19/2019
Last updated
06/09/2026
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