NPI | 1326467176 |
---|---|
Other Name | IMAGINE PHYSICAL THERAPY, WESLEY DRIVE |
Entity Type | Organization |
Authorized Contact | JOHN A MART Owner 843-375-5448 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2014-04-09 |
Last Update Date | 2014-04-09 |