Individual
KARLEIGH DIETERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5016 W WACO DR, WACO, TX 76710-7022
(254) 732-8330
Mailing address
5016 W WACO DR, WACO, TX 76710-7022
(254) 732-8330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1404492
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/07/2026
Last updated
05/12/2026
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