| NPI | 1942968342 |
|---|---|
| Doing Business As | CHANGING TIDES THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | JILL ZANK Owner 907-399-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-29 |