Mr. Shanthi Vardhanreddy Gangumalla, PHYSICALTHERAPIST
Mr. Shanthi Vardhanreddy Gangumalla, PHYSICALTHERAPIST is a Physical Therapist in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.
- Licensed in
- MI
- In the registry since
- 2018
Practice location Address checks out
2567 W Grand BlvdDetroit, MI 48208-1235
Phone: (313) 895-5340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 5501014970 (MI) |
|---|
Record details
| NPI number | 1851894638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICALTHERAPIST |
| Sole proprietor | Yes |
| NPI enumerated | March 17, 2018 |
| Last updated in NPPES | March 17, 2018 |
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