DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNEDY ROSE DIERCKMAN, PT, DPT

Active

KENNEDY ROSE DIERCKMAN, PT, DPT is a Pediatric Occupational Therapy healthcare provider located in GEORGETOWN, Texas. NPI 1558168013 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · GEORGETOWN, TX

Registration Details

NPI Number
1558168013
Provider Type
Individual
Gender
Female
NPI Issued
Mar 3, 2025 (1.4831666735564 yrs)
Last Updated
Mar 3, 2025

Practice Information

Address
700 SUN GROVE TRL
GEORGETOWN, TX, 786283737
Browse TX providers · Browse ZIP 78628
Phone
9492123650
Primary Specialty
Pediatric Occupational Therapy
2251P0200X

Other Pediatric Occupational Therapy Providers in GEORGETOWN, TX

Name Credential NPI
DR. BRIAN TROYCE GREGORY PT, DPT 1942766357
OLIVIA CLAIRE GORHAM PT, DPT 1497369466
ADAM MELCHER 1982394763
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.