Indiana
Professional Licensing Agency
Shanthi Vardhan Reddy Gangumalla
Physical Therapist
License number
05010221A
Date granted
02/11/2010
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Troy MI 48084
indianalicensing.org
ID 8378369
LAST UPDATED 2026-03-26 19:28:07 UTC
LAST UPDATED 2026-03-26 19:28:07 UTC
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