Provider Demographics
NPI:1083346340
Name:ORONCE, ALLEN ROSS (PT)
Entity Type:Individual
Prefix:
First Name:ALLEN ROSS
Middle Name:
Last Name:ORONCE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 WHILDEN ST APT B
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-5344
Mailing Address - Country:US
Mailing Address - Phone:703-717-2050
Mailing Address - Fax:
Practice Address - Street 1:1909 N HIGHWAY 17 STE R
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-7460
Practice Address - Country:US
Practice Address - Phone:843-416-9026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11322225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist