Provider Demographics
NPI:1487759676
Name:AGBABIAN, VAHAN (MA, ATC)
Entity type:Individual
Prefix:
First Name:VAHAN
Middle Name:
Last Name:AGBABIAN
Suffix:
Gender:M
Credentials:MA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1941 PRAIRIE DUNES CT S
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-8640
Mailing Address - Country:US
Mailing Address - Phone:734-944-1123
Mailing Address - Fax:734-930-7326
Practice Address - Street 1:24 FRANK LLOYD WRIGHT DR
Practice Address - Street 2:BOX 391
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9755
Practice Address - Country:US
Practice Address - Phone:734-930-7400
Practice Address - Fax:734-930-7326
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2008-09-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer