| 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 |