MR. SHANTHI VARDHANREDDY GANGUMALLA, PHYSICAL THERAPIST
Physical Therapist
Active
Individual
NPI: 1851894638
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 5501014970 (MI) |
Frequently Asked Questions
NPI 1851894638 is the National Provider Identifier for MR. SHANTHI VARDHANREDDY GANGUMALLA, PHYSICAL THERAPIST, a Physical Therapist provider located in Detroit, MI. This NPI was enumerated on March 17, 2018.
MR. SHANTHI VARDHANREDDY GANGUMALLA, PHYSICAL THERAPIST practices at 2567 W GRAND BLVD, Detroit, MI 48208.
Quick Facts
- NPI
- 1851894638
- Type
- Individual
- Enumerated
- Mar 17, 2018
- Last Updated
- Mar 17, 2018
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