Provider Demographics
NPI:1912065681
Name:ALDERDICE, SHARON TAYLOR (PT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:TAYLOR
Last Name:ALDERDICE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3516 LAKEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7520
Mailing Address - Country:US
Mailing Address - Phone:469-877-8755
Mailing Address - Fax:
Practice Address - Street 1:3516 LAKEBROOK DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7520
Practice Address - Country:US
Practice Address - Phone:469-877-8755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1018935225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist