IndividualActive
Garrett Graham, PT
NPI 1770195190 · Pediatric Physical Therapist · New Haven, CT
Provider details
- NPI number
- 1770195190
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 012296 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
400 Blake St Apt 4117
New Haven, CT 06515-4419
Phone: (401) 215-3554
Approximate (ZIP-level) locationGet directions
Mailing address
400 Blake St Apt 4117
New Haven, CT 06515-4419
Registry dates
- Enumerated
- 2020-08-18
- Last updated
- 2020-08-18
- Certified
- 2020-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.