Organization
LAURA DYE
Active
Parent organization
TUDOR HOME THERAPIES, INC
Other names
Custom Select Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
TUDOR HOME THERAPIES, INC
Authorized official
LAUREN LAU (DIRECTOR)
(724) 989-4564
Entity
Organization
Contact information
Practice address
1397 S CANFIELD NILES RD UNIT 2, YOUNGSTOWN, OH 44515-4084
(330) 953-0129
(330) 953-0650
Mailing address
PO BOX 392573, PITTSBURGH, PA 15251-9573
(330) 953-0129
(330) 953-0650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139396
—
OH
Enumeration date
07/27/2015
Last updated
06/04/2025
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