SHANTHI VARDHANREDDY GANGUMALLA

DETROIT, MI
NPI1851894638
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501014970)
Enumeration Date2018-03-17
Last Update Date2018-03-17
Business Address
MR. SHANTHI VARDHANREDDY GANGUMALLA PHYSICAL THERAPIST
2567 W GRAND BLVD
DETROIT, MI 48208-1235
Phone number: 313-895-5340
Mailing Address
MR. SHANTHI VARDHANREDDY GANGUMALLA PHYSICAL THERAPIST
3946 MESA DR
TROY, MI 48083-6510
Phone number: 334-332-8310
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