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Organization
IMAGINE PHYSICAL THERAPY OLD VILLAGE LLC
Active
Organization
IMAGINE PHYSICAL THERAPY OLD VILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH WILLIAMSON (CREDENTIALING SPECIALIST)
(843) 804-9479
Entity
Organization
Contact information
Practice address
1304 ERCKMANN DR UNIT C, MT PLEASANT, SC 29464-5536
(843) 971-7668
(843) 971-7666
Mailing address
IMAGINE PHYSICAL THERAPY, 5111 NORTH RHETT AVENUE, NORTH CHARLESTON, SC 29405-4219
(843) 804-9077
(843) 804-9020
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/17/2015
Last updated
08/03/2022
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