Individual
DALLIN TAVOIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS AT
Contact information
Practice address
1 OHIO UNIVERSITY, ATHENS, OH 45701-2942
(435) 592-4286
Mailing address
4 ANN ST, ATHENS, OH 45701-3656
(435) 592-4286
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004735
OH
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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