Healthcare Provider Details

I. General information

NPI: 1598924888
Provider Name (Legal Business Name): TUDOR HOME THERAPIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2008
Last Update Date: 01/07/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 W SIXTH ST
EAST LIVERPOOL OH
43920-2812
US

IV. Provider business mailing address

PO BOX 392573
PITTSBURGH PA
15251-9573
US

V. Phone/Fax

Practice location:
  • Phone: 330-965-9330
  • Fax: 330-965-9308
Mailing address:
  • Phone: 330-965-9330
  • Fax: 330-965-9308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAUREN LAU
Title or Position: DIRECTOR
Credential:
Phone: 724-989-4564