IndividualActive
Toni Irby, HAIR LOSS SPECIALIST
NPI 1063963627 · Prosthetics Case Management · Fort Wayne, IN
Provider details
- NPI number
- 1063963627
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- HAIR LOSS SPECIALIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- BC29800806 (IN)
Specialties & taxonomies
Other Service Providers
Practice location
3219 E State Blvd
Fort Wayne, IN 46805
Phone: (260) 760-6686
Approximate (ZIP-level) locationGet directions
Mailing address
1216 Bunker Hill Pl
Fort Wayne, IN 46825
Registry dates
- Enumerated
- 2016-10-19
- Last updated
- 2016-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.