Kennedy Rose Dierckman, PT, DPT
NPI #1558168013 in Georgetown, Texas
Provider Information
- NPI Number
- 1558168013
- Entity Type
- Individual
- Name
- Kennedy Rose Dierckman, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist - Pediatrics
- Credential
- PT, DPT
- Enumeration Date
- Mar 3, 2025
- Last Updated
- Mar 3, 2025
Practice Location
- Address
- 700 SUN GROVE TRL
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-3737
- Phone
- (949) 212-3650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Pediatrics — Pediatrics |
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