Healthcare Provider Details

I. General information

NPI: 1053220632
Provider Name (Legal Business Name): LISA ELIZABETH FINK PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 LINCOLNTON RD
SALISBURY NC
28144-6277
US

IV. Provider business mailing address

111 DEVONSHIRE CT
MOORESVILLE NC
28115-9180
US

V. Phone/Fax

Practice location:
  • Phone: 704-603-1352
  • Fax:
Mailing address:
  • Phone: 716-870-4570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA7645
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: