Provider Demographics
NPI:1245587088
Name:FINK, ANGELA CATHERINE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:CATHERINE
Last Name:FINK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2837 SPENCER SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:NC
Mailing Address - Zip Code:28034-9417
Mailing Address - Country:US
Mailing Address - Phone:704-406-9654
Mailing Address - Fax:704-466-3437
Practice Address - Street 1:224 W WARREN ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-5342
Practice Address - Country:US
Practice Address - Phone:704-406-9654
Practice Address - Fax:704-466-3437
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8408225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7302407Medicaid