Search › Michigan › Physical Therapist
Shanthi Vardhanreddy Gangumalla, PHYSICAL THERAPIST
NPI 1851894638 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2567 W Grand Blvd
Detroit, MI 48208 - Phone
- (313) 895-5340
- Organisation at this address
- Boulevard Temple Care Center, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan