# IMAGINE PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IMAGINE PHYSICAL THERAPY
- **Other names:** Imagine Physical Therapy, Wesley Drive
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326467176
- **Legal business name:** IMAGINE PHYSICAL THERAPY
- **Authorized official:** MR. JOHN A MART PT (OWNER)
- **Authorized official phone:** (843) 375-5448

## Contact information

- **Practice address:** 615 WESLEY DR, SUITE 110, CHARLESTON, SC 29407-7204
- **Practice address phone:** (843) 554-2323
- **Practice address fax:** (843) 763-8124
- **Mailing address:** 3301 STOCKDALE ST, SUITE B, MOUNT PLEASANT, SC 29466-7125
- **Mailing address phone:** (843) 375-5448
- **Mailing address fax:** (843) 628-6624

## Taxonomy

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

## Other

- **Enumeration date:** 04/09/2014
- **Last updated:** 04/09/2014