Organization
IMAGINE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MART (OWNER)
(843) 375-5448
Entity
Organization
Contact information
Practice address
1125 LANDAU LANE, MT PLEASANT, SC 29466-7300
(843) 375-5448
(843) 628-6624
Mailing address
IMAGINE PHYSICAL THERAPY, 5111 NORTH RHETT AVENUE, NORTH CHARLESTON, SC 29405-4219
(843) 804-9033
(843) 804-9020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4419
—
SC
Enumeration date
08/10/2006
Last updated
04/18/2023
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