Individual
ANDREW JEFFREY LIETZOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7800 RIVERS AVE STE 1240, NORTH CHARLESTON, SC 29406-4067
(843) 277-0710
(843) 573-7412
Mailing address
141 ATRIUM WAY, COLUMBIA, SC 29223-6301
(843) 277-0710
(843) 573-7412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9821
SC
Other
Enumeration date
08/06/2019
Last updated
04/21/2025
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