# PRO-MOTION PHYSICAL THERAPY OF FLORENCE, SC, LLC

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

## Provider details

- **NPI number:** 1821474115
- **Authorized official:** ANDREW IMBEAU (MANAGING PARTNER)
- **Authorized official phone:** (803) 233-1366

## Contact information

- **Practice address:** 148 B SAULS STREET, LAKE CITY, SC 29560
- **Practice address phone:** (843) 374-0185
- **Practice address fax:** (843) 374-0189
- **Mailing address:** PO BOX 6526, COLUMBIA, SC 29260-6526
- **Mailing address phone:** (803) 693-5040
- **Mailing address fax:** (803) 233-1367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 08/10/2015
- **Last updated:** 06/27/2023