Organization
IMAGINE PHYSICAL THERAPY ON DANIEL ISLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH WILLIAMSON (CREDENTIALING SPECIALIST)
(843) 804-9479
Entity
Organization
Contact information
Practice address
142 SPORTSMAN ISLAND DRICE, STE F, CHARLESTON, SC 29492
(843) 377-8820
(843) 804-9020
Mailing address
IMAGINE PHYSICAL THERAPY, 5111 NORTH RHETT AVENUE, NORTH CHARLESTON, SC 29405-4219
(843) 804-9077
(843) 377-8823
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5119
—
SC
Enumeration date
05/12/2008
Last updated
08/03/2022
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