Organization
IMAGINE PHYSICAL THERAPY NORTH RHETT LLC
Active
Other names
Imagine Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BETH WILLIAMSON (CREDENTIALING SPECIALIST)
(843) 804-9479
Entity
Organization
Contact information
Practice address
5111 N RHETT AVE, NORTH CHARLESTON, SC 29405-4219
(843) 375-5448
(843) 628-6624
Mailing address
5111 N RHETT AVE, NORTH CHARLESTON, SC 29405-4219
(843) 804-9077
(843) 628-6624
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
7041
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6702
—
SC
Enumeration date
08/19/2014
Last updated
08/03/2022
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