HAZEL NALYN BASA

FORT WAYNE, IN
NPI1609012582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32001575A)
Enumeration Date2008-12-26
Last Update Date2008-12-26
Business Address
-- HAZEL NALYN BASA COTA
2237 ENGLE RD
FORT WAYNE, IN 46809-1404
Phone number: 260-747-2353
Mailing Address
-- HAZEL NALYN BASA COTA
1800 N WABASH RD STE 200
MARION, IN 46952-1300
Phone number: 765-651-3229
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