Organization
CELESTIAL SPHERE CONSULTANTS, LLC.
Active
Other names
BusinessDrs
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JASON MULLANEY JR. OTR/L (PRESIDENT/THERAPIST)
(786) 556-1557
Entity
Organization
Contact information
Practice address
5851 SW 188TH AVE, SOUTHWEST RANCHES, FL 33332-1342
(786) 556-1557
Mailing address
5851 SW 188TH AVE, SOUTHWEST RANCHES, FL 33332-1342
(786) 556-1557
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10332
FL
Other
Enumeration date
10/25/2011
Last updated
11/13/2013
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