Individual provider · NPI-1

Myisha Stratton

Prosthetic/Orthotic Supplier · Willow Grove, PA

NPI number1407638596
StatusActive
Last updated in NPPESMar 24, 2026

Details

NPI
1407638596
Entity type
Individual (NPI-1)
Name
Myisha Stratton
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 16, 2023
Certification date
Mar 24, 2026
Last updated
Mar 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic SupplierCO222708LPAYes

Other names

  • Myisha Miller (Former Name)

Practice location

52 N York Rd
Willow Grove, PA 19090-3415

Phone 267-453-9855 · Fax 215-346-2555

Mailing address

402 W Tabor Rd
Philadelphia, PA 19120-2810

Phone 267-453-9855 · Fax 215-346-2555

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