DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HAZEL NALYN BASA, COTA

Active

HAZEL NALYN BASA, COTA is a Occupational Therapy Assistant healthcare provider located in FORT WAYNE, Indiana. NPI 1609012582 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FORT WAYNE, IN

Registration Details

NPI Number
1609012582
Provider Type
Individual
Gender
Female
NPI Issued
Dec 26, 2008 (17.486337501714 yrs)
Last Updated
Dec 26, 2008
License
32001575A (IN)

Practice Information

Address
2237 ENGLE RD
FORT WAYNE, IN, 468091404
Browse IN providers · Browse ZIP 46809
Phone
2607472353
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in FORT WAYNE, IN

Name Credential NPI
NANCY SHEPLER COTA 1699819664
CHASSIDY JOHNSON COTA 1780728485
MISS TYWANNA LASHEA JACKSON COTA 1376662015
MISS NATASHA REBECCA KEVER C.O.T.A. 1649499575
TIFFANY C MCGOWN COTA 1487874806
MS. JILL MARIE DELZEITH COTA 1134335193
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.