Organization
COASTLINE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA MIKLOS CCC-SLP (OWNER)
(678) 428-0733
Entity
Organization
Contact information
Practice address
17706 CRESCENT MOON LOOP, LAKEWOOD RANCH, FL 34211-1358
(678) 428-0733
Mailing address
17706 CRESCENT MOON LOOP, LAKEWOOD RANCH, FL 34211-1358
(678) 428-0733
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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