Healthcare Provider Details
I. General information
NPI: 1043114630
Provider Name (Legal Business Name): CELESTE THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9735 SW 133RD CT
MIAMI FL
33186-2241
US
IV. Provider business mailing address
9735 SW 133RD CT
MIAMI FL
33186-2241
US
V. Phone/Fax
- Phone: 305-542-7032
- Fax:
- Phone: 305-542-7032
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ASTRID
MARRUFO
Title or Position: OWNER
Credential: COTA/L
Phone: 305-542-7032