Provider Demographics
NPI:1629454665
Name:FINK, ELIZABETH M (DPT, OCS)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:M
Last Name:FINK
Suffix:
Gender:F
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:M
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:3270 CHERRYVIEW CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:OH
Mailing Address - Zip Code:45052-9526
Mailing Address - Country:US
Mailing Address - Phone:513-604-7877
Mailing Address - Fax:
Practice Address - Street 1:301 SATORI PKWY STE 110
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-6407
Practice Address - Country:US
Practice Address - Phone:317-272-4186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT015579225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist