Individual
DR. GARRETT GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
400 BLAKE ST APT 4117, NEW HAVEN, CT 06515-4419
(401) 215-3554
Mailing address
400 BLAKE ST APT 4117, NEW HAVEN, CT 06515-4419
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
012296
CT
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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