OrganizationActive
1st Impression Salon LLC
NPI 1134620503 · Prosthetics Case Management · Upper Darby, PA
Provider details
- NPI number
- 1134620503
- Entity type
- Organization
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Authorized official
- Zakiyyah Suluki, Owner
- License
- CT020639L (PA)
Mailing address
6818 Market St
Upper Darby, PA 19082-2439
Registry dates
- Enumerated
- 2018-02-21
- Last updated
- 2018-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.