MEDICARE: SHARON TAYLOR ALDERDICE PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1018935	TX

General Provider Information

NPI Number	:	1912065681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON TAYLOR ALDERDICE PT

Provider Business Mailing Address
First Line	:	3516 LAKEBROOK DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-7520
Country	:	US
Telephone Number	:	469-877-8755
Fax Number	:

Provider Business Practice Location Address
First Line	:	3516 LAKEBROOK DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-7520
Country	:	US
Telephone Number	:	469-877-8755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	10/03/2023

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