Individual
IMANI GERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 SMITHFIELD WAY STE 104, FORT MILL, SC 29715-6956
(803) 470-4933
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP042352T
SC
225100000X
Physical Therapist
P23838
NC
Other
Enumeration date
02/27/2025
Last updated
04/02/2025
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