Organization
IMAGINE PHYSICAL THERAPY IN WEST ASHLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH WILLIAMSON (CREDENTIALING SPECIALIST)
(843) 804-9479
Entity
Organization
Contact information
Practice address
2267 ASHLEY RIVER ROAD, CHARLESTON, SC 29414-4736
(843) 576-4121
(843) 793-3575
Mailing address
5111 NORTH RHETT AVENUE, IMAGINE PHYSICAL THERAPY, NORTH CHARLESTON, SC 29405-4219
(843) 804-9077
(843) 804-9020
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5529
—
SC
Enumeration date
07/15/2010
Last updated
05/12/2023
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