# IMAGINE PHYSICAL THERAPY NORTH RHETT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Imagine Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033518766
- **Authorized official:** BETH WILLIAMSON (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (843) 804-9479

## Contact information

- **Practice address:** 5111 N RHETT AVE, NORTH CHARLESTON, SC 29405-4219
- **Practice address phone:** (843) 375-5448
- **Practice address fax:** (843) 628-6624
- **Mailing address:** 5111 N RHETT AVE, NORTH CHARLESTON, SC 29405-4219
- **Mailing address phone:** (843) 804-9077
- **Mailing address fax:** (843) 628-6624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 7041 | SC | Yes |

## Other

- **Enumeration date:** 08/19/2014
- **Last updated:** 08/03/2022