Individual
BROOKE TEDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
758 SAINT ANNE ST, CLUTE, TX 77531-3729
(979) 241-8287
Mailing address
758 SAINT ANNE ST, CLUTE, TX 77531-3729
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2090815
TX
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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