Organization
COASTAL KIDS THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIDISYS DIAZ OTR/L (MGR)
(786) 399-3247
Entity
Organization
Contact information
Practice address
15465 SW 13TH TER, MIAMI, FL 33194-2597
(786) 399-3247
Mailing address
15465 SW 13TH TER, MIAMI, FL 33194-2597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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