# PRO-MOTION PHYSICAL THERAPY OF COLUMBIA, SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ProMotion Rehab and Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639917834
- **Authorized official:** MR. ANDREW IMBEAU (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (843) 245-0750

## Contact information

- **Practice address:** 4420 ROSEWOOD DR, COLUMBIA, SC 29209-2629
- **Practice address phone:** (803) 233-1366
- **Practice address fax:** (803) 233-1367
- **Mailing address:** PO BOX 6526, COLUMBIA, SC 29260-6526
- **Mailing address phone:** (803) 233-1366
- **Mailing address fax:** (803) 233-1367

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2024
- **Last updated:** 07/20/2024