Provider Demographics
NPI:1447720537
Name:FINK, ASHLEY (COTA)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:
Last Name:FINK
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5203 CREEKLAND CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1562
Mailing Address - Country:US
Mailing Address - Phone:832-866-6575
Mailing Address - Fax:
Practice Address - Street 1:6210 KRISTEN PARK LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-4014
Practice Address - Country:US
Practice Address - Phone:832-866-6575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-30
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215550224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant