Imagine Physical Therapy Old Village LLC
NPI #1477937662 in Mt Pleasant, South Carolina
Provider Information
- NPI Number
- 1477937662
- Entity Type
- Organization
- Organization Name
- Imagine Physical Therapy Old Village LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 17, 2015
- Last Updated
- Aug 3, 2022
Practice Location
- Address
- 1304 ERCKMANN DR UNIT C
- City
- Mt Pleasant
- State
- South Carolina
- ZIP Code
- 29464-5536
- Phone
- (843) 971-7668
Authorized Official
- Name
- BETH WILLIAMSON
- Title
- CREDENTIALING SPECIALIST
- Phone
- (843) 804-9479
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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