Individual
ARTAVIA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 UNION SQ UNIT 1210, SOUTHBURY, CT 06488-2204
(347) 255-6148
Mailing address
9 UNION SQ UNIT 1210, SOUTHBURY, CT 06488-2204
(347) 255-6148
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CT
Other
Enumeration date
09/26/2025
Last updated
10/24/2025
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