Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Damodharan Peram

Individual provider Recreation Therapist · NPI 1649741521

Damodharan Peram is a Recreation Therapist in Jackson, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2040 Cascade Woods Dr
Jackson, MI 49203-3773
Phone: (734) 233-7689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501014242 (MI)
Recreation Therapist Taxonomy 225800000X · Licence 5501014242 (MI)

Record details

NPI number1649741521
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 17, 2018
Last updated in NPPESDecember 17, 2018

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