Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hazel Nalyn Basa, COTA

Individual provider Occupational Therapy Assistant · NPI 1609012582

Hazel Nalyn Basa, COTA is an Occupational Therapy Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

2237 Engle Rd
Fort Wayne, IN 46809-1404
Phone: (260) 747-2353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 32001575A (IN)

Record details

NPI number1609012582
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedDecember 26, 2008
Last updated in NPPESDecember 26, 2008
Mailing address1800 N Wabash Rd Ste 200, Marion, IN 46952-1300

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