IndividualActive
Artavia Graham
NPI 1174496905 · Prosthetic/Orthotic Supplier · Southbury, CT
Provider details
- NPI number
- 1174496905
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
9 Union Sq Unit 1210
Southbury, CT 06488-2204
Phone: (347) 255-6148
Approximate (ZIP-level) locationGet directions
Mailing address
9 Union Sq Unit 1210
Southbury, CT 06488-2204
Registry dates
- Enumerated
- 2025-09-26
- Last updated
- 2025-10-24
- Certified
- 2025-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.