License holder summary

SHANTHI VARDHANREDDY GANGUMALLA is a Physical Therapy - Physical Therapist licensed to practice in Michigan. This licensed professional license is current. The license was granted 01/05/2010 and expired on 07/31/2018.

Michigan

Department of Licensing and Regulation

SHANTHI VARDHANREDDY GANGUMALLA
Physical Therapy - Physical Therapist
License number
5501014970
Date granted
01/05/2010
Date expires
07/31/2018
Class
Physical Therapy - Physical Therapist
Status
Active
Address
michiganlicensing.org
ID 39292888
LAST UPDATED 2026-05-25 04:44:18 UTC

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