NPI 1205375706

D.D. Daughters Lace Wig Beautique, LLC

Organisation Prosthetic/Orthotic Supplier Willow Grove, PA

Practice location

Address: 52 N York Road, Salon, Willow Grove, PA 19090
Phone: (215) 346-2555
Fax: (215) 346-2555
Mailing address: 402 W Tabor Rd, Philadelphia, PA 19120-2810

Authorised official

Name: Myisha Daketa Stratton
Title: Cranial Prosthesis Specialist/Owner
Phone: (267) 453-9855

Registered specialties (2)

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1205375706
Entity type: Organization
NPI issued: 16 Feb 2017
Record last updated: 24 Mar 2026

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.