Individual
ALLISON KAY SHIDAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 JUNCTION DR, ALLEN, TX 75013-5290
(469) 675-3153
(469) 675-3154
Mailing address
1000 11TH ST, PLANO, TX 75074-6984
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1388691
TX
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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