# IMAGINE PHYSICAL THERAPY IN WEST ASHLEY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588977862
- **Authorized official:** BETH WILLIAMSON (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (843) 804-9479

## Contact information

- **Practice address:** 2267 ASHLEY RIVER ROAD, CHARLESTON, SC 29414-4736
- **Practice address phone:** (843) 576-4121
- **Practice address fax:** (843) 793-3575
- **Mailing address:** 5111 NORTH RHETT AVENUE, IMAGINE PHYSICAL THERAPY, NORTH CHARLESTON, SC 29405-4219
- **Mailing address phone:** (843) 804-9077
- **Mailing address fax:** (843) 804-9020

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2010
- **Last updated:** 05/12/2023