License holder summary

Shanthi Vardhan Reddy Gangumalla is a Physical Therapist licensed to practice in Indiana. The address on file for Shanthi Vardhan Reddy Gangumalla is Troy MI 48084. This licensed professional license is current. The license was granted 02/11/2010 and expired on 06/30/2016.

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

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