NPI 1174496905

Artavia Graham

Practitioner Prosthetic/Orthotic Supplier Southbury, CT

Practice location

Address: 9 Union Sq Unit 1210, Southbury, CT 06488-2204
Phone: (347) 255-6148

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1174496905
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2025
Record last updated: 24 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.