Hazel Nalyn Basa, COTA

Occupational Therapy Assistant · Fort Wayne, IN

Individual Active NPI

NPI number 1609012582

Practice location

2237 Engle Rd
Fort Wayne, IN 46809-1404
Phone
(260) 747-2353

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NPI record

NPI
1609012582
Entity type
Individual (Type 1)
Enumeration date
December 26, 2008
Last updated
December 26, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 32001575A IN

Mailing address

1800 N Wabash Rd Ste 200
Marion, IN 46952-1300
Phone
(765) 651-3229

About Hazel Basa

Hazel Nalyn Basa, COTA is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 2237 Engle Rd, Fort Wayne, IN 46809-1404. The NPI number 1609012582 was assigned on December 26, 2008 and the record was last updated on December 26, 2008.

Hazel Basa lists a license in the registry: #32001575A (IN) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Hazel Nalyn Basa, COTA?

The NPI number is 1609012582.

What is the phone number of Hazel Basa?

The phone number listed for the practice location is (260) 747-2353.

Where is Hazel Basa located?

2237 Engle Rd, Fort Wayne, IN 46809-1404.

What is the taxonomy code for Hazel Basa?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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