DAMODHARAN PERAM

JACKSON, MI
NPI1649741521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501014242)
Additional Taxonomies225800000X Recreation Therapist
(Licence: MI  5501014242)
Enumeration Date2018-12-17
Last Update Date2018-12-17
Business Address
DAMODHARAN PERAM
2040 CASCADE WOODS DR
JACKSON, MI 49203-3773
Phone number: 734-233-7689
Mailing Address
DAMODHARAN PERAM
2040 CASCADES WOODS DR
JACKSON, MI 49203
Phone number: