Healthcare Provider Details
I. General information
NPI: 1780642603
Provider Name (Legal Business Name): TU-DOR THERAPIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2006
Last Update Date: 01/07/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 E CALIFORNIA AVE
BOARDMAN OH
44512-5658
US
IV. Provider business mailing address
PO BOX 392573
PITTSBURGH PA
15251-9573
US
V. Phone/Fax
- Phone: 330-270-5410
- Fax: 330-270-5973
- Phone: 330-270-5410
- Fax: 330-270-5973
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAUREN
LAU
Title or Position: DIRECTOR
Credential:
Phone: 724-989-4564