Individual
LATARA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR, MOT, CDP, ISTM
Contact information
Practice address
2993 S STATE HIGHWAY 360 STE 200, GRAND PRAIRIE, TX 75052-8906
(817) 618-5550
(214) 988-1542
Mailing address
PO BOX 541885, GRAND PRAIRIE, TX 75054-1885
(469) 580-9733
(214) 988-1542
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118175
TX
225XG0600X
Gerontology Occupational Therapist
118175
TX
225XP0200X
Pediatric Occupational Therapist
118175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404282201
—
TX
Enumeration date
03/13/2012
Last updated
05/29/2024
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