Provider Demographics
NPI:1356424402
Name:SHOCH, SHARON PATRICE (NCMT)
Entity type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:PATRICE
Last Name:SHOCH
Suffix:
Gender:F
Credentials:NCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3264 W PRICE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286-4986
Mailing Address - Country:US
Mailing Address - Phone:941-467-2960
Mailing Address - Fax:
Practice Address - Street 1:3264 W PRICE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34286-4986
Practice Address - Country:US
Practice Address - Phone:941-525-4535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019000864225700000X
FLMA58341225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist