Organization Name: | IMAGINE PHYSICAL THERAPY NORTH RHETT LLC |
NPI Number: | 1033518766 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN ARTHUR MART (PHYSICAL THERAPIST) |
Mailing Address: | 5111 N Rhett Ave North Charleston |
State: | SC US |
Postal Code: | 294054219 |
Phone Number: | 8433755448 |
Fax Number: | 8436286624 |
NPI Enumeration Date: | 08/19/2014 |
NPI Last Update Date: | 01/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 7041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |