License holder summary

Soumya Mamidi is a Physical Therapist licensed to practice in Indiana. The address on file for Soumya Mamidi is Troy MI 48084. This licensed professional license is current. The license was granted 10/23/2009 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Soumya Mamidi
Physical Therapist
License number
05010095A
Date granted
10/23/2009
Date expires
06/30/2016
Class
Physical Therapist
Status
Active
Address
Troy MI 48084
indianalicensing.org
ID 8378374
LAST UPDATED 2024-03-19 09:09:09 UTC

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