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Organization

ROOTED PEDIATRIC SPEECH AND FEEDING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA TEDDER MS, CCC-SLP (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(704) 689-0146
Entity
Organization

Contact information

Practice address
5620 N 23RD ST, TACOMA, WA 98406-2908
(704) 689-0146
Mailing address
5620 N 23RD ST, TACOMA, WA 98406-2908
(704) 689-0146

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
08/31/2023
Last updated
08/31/2023
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