Organization
IMAGINE PHYSICAL THERAPY CANE BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A MART (OWNER/PHYSICAL THERAPIST)
(843) 804-9479
Entity
Organization
Contact information
Practice address
1600 STATE RD, SUMMERVILLE, SC 29486-2842
(843) 804-9479
(843) 804-7902
Mailing address
5111 N RHETT AVE, NORTH CHARLESTON, SC 29405-4219
(843) 804-9479
(843) 804-9020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
02/16/2016
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