Organization
CHANGING TIDES THERAPY SERVICES, LLC
Active
Other names
Changing Tides Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
JILL ZANK MS, CCC-SLP (OWNER)
(907) 399-8400
Entity
Organization
Contact information
Practice address
601 E PIONEER AVE STE 209, HOMER, AK 99603-7694
(907) 399-8400
Mailing address
PO BOX 15416, FRITZ CREEK, AK 99603-6380
(907) 399-8400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
12/29/2021
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